Individual provider Active NPI

Shaneen Brown, BHS, DC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1174907471
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3912 Issued in SC
Practice address
210 Westgate Mall Dr
Suite 6
Spartanburg, SC 29301-1371
Phone
(864) 256-1437
Fax
(864) 751-4385
NPI assigned
Jul 16, 2015
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3912 SC Primary

Addresses

Primary practice location

210 Westgate Mall Dr
Suite 6
Spartanburg, SC 29301-1371

Mailing address

210 Westgate Mall Dr
Suite 6
Spartanburg, SC 29301
Phone (864) 256-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802000844 SC Practitioner - Chiropractic 1759674526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 Westgate Mall Dr
Suite 6
Spartanburg, SC 29301-1305
Phone (864) 256-1437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3912SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic & Associates, LLC CurrentSince Jun 30, 2016 Accepting new patients

Locations

210 Westgate Mall Dr
Ste 6
Spartanburg, SC 29301
Phone (864) 256-1437

220 Westgate Mall Dr
Ste 6
Spartanburg, SC 29301
Phone (864) 256-1437

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1174907471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTGATE MALL DR",
            "address_2": "SUITE 6",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29301",
            "telephone_number": "864-256-1437",
            "fax_number": "864-751-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTGATE MALL DR",
            "address_2": "SUITE 6",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011371",
            "telephone_number": "864-256-1437",
            "fax_number": "864-751-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANEEN",
        "name_prefix": "Dr.",
        "credential": "BHS, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.