Individual provider Active NPI

Michael Howard Brown, D.C.

  • Chiropractor
  • New Philadelphia, OH
National Provider Identifier
1194882928
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1107 Issued in OH
Practice address
802 Cookson Ave SE
New Philadelphia, OH 44663-9569
Phone
(330) 339-6693
Fax
(330) 365-1398
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1107 OH Primary

Addresses

Primary practice location

802 Cookson Ave SE
New Philadelphia, OH 44663-9569

Mailing address

802 Cookson Ave SE
New Philadelphia, OH 44663-9569
Phone (330) 339-6693

Other identifiers 5

IdentifierTypeStateIssuer
1331801OtherOHUNITED HEALTH MINER
34-1477562OtherOHFEDERAL TAX ID#
350008579OtherOHUNITED HEALTH RAILROAD
2273641MedicaidOH
34-147756200OtherOHWORKER'S COMPENSATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000769 OH Practitioner - Chiropractic 7517129562 Practice locations: New Philadelphia, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

802 Cookson Ave SE
New Philadelphia, OH 44663-9569
Phone (330) 339-6693

802 Cookson Seave
New Philadelphia, OH 44663-9569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1194882928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COOKSON AVE SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639569",
            "telephone_number": "330-339-6693",
            "fax_number": "330-365-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 COOKSON AVE SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639569",
            "telephone_number": "330-339-6693",
            "fax_number": "330-365-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH MINER",
            "identifier": "1331801",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "34-1477562",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH RAILROAD",
            "identifier": "350008579",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2273641",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "34-147756200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.