Individual provider Active NPI

Nicholas Ryan Brown, DC, MS

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1194355099
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6055 Issued in OR
Practice address
2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone
(541) 484-0360
Fax
(541) 484-9036
NPI assigned
Jan 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6055 OR Primary

Addresses

Primary practice location

2704 Delta Oaks Dr
Eugene, OR 97408-1740

Mailing address

2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone (541) 484-0360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217002449 OR Practitioner - Chiropractic 8426463852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Brown DC IncGroup PAC ID 5890179477, 3 clinicians

Practice addresses (Care Compare)

2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone (541) 484-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6055ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Brown DC Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

2704 Delta Oaks Dr
Eugene, OR 97408
Phone (541) 484-0360

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1194355099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740",
            "telephone_number": "541-484-0360",
            "fax_number": "541-484-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740",
            "telephone_number": "541-484-0360",
            "fax_number": "541-484-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-19",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.