Active NPI
Steven M Brown, D.C.
- Sports Physician Chiropractor
- Boulder, CO
National Provider Identifier
1225456114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHR.0007310
- Practice address
- 2760 29TH St Ste 2B
Boulder, CO 80301-1221 - Phone
- (303) 444-5105
- NPI assigned
- Mar 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11155 | FL | |
| Sports Physician Chiropractor | 111NS0005X | X012555-1 | NY | |
| Sports Physician Chiropractor | 111NS0005X | CHR.0007310 | CO | Primary |
Addresses
Primary practice location
2760 29TH St Ste 2B
Boulder, CO 80301-1221
Mailing address
2760 29TH St Ste 2B
Boulder, CO 80301-1221
Phone (303) 444-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Ctr Green Dr
Suite 130
Boulder, CO 80301
3000 Ctr Green Dr
Suite 130
Boulder, CO 80301-2364
3101 Iris Ave
Suite 220
Boulder, CO 80301-1994
Phone (303) 444-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11155 | FL | MD | Chiropractor |
| X012555-1 | NY | MD | Sports Physician Chiropractor |
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.
-
dba Boulder Sports Chiropractic
- Sports Physician Chiropractor
- Boulder, CO
- NPI 1427411362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1225456114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "303-444-5105",
"fax_number": "303-494-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "303-444-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-28",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11155",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X012555-1",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "CHR.0007310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.