Dr Glen D Brown Jr PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR GLEN D BROWN JR PLC

Practice address

3007 S Hazel St Ste 2
Pine Bluff, AR 71603-5700

Phone

(870) 534-8212

NPI assigned

Jun 22, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen BrownNPI 1801985098

Title

Owner

Phone

(870) 534-8212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen Dale Brown Jr., D.C.

  • Chiropractor
  • Pine Bluff, AR
  • NPI 1801985098
  Authorized official Same address or phone

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1225714447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 S HAZEL ST STE 2",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035700",
            "telephone_number": "870-534-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 S HAZEL ST STE 2",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035700",
            "telephone_number": "870-534-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLEN D BROWN JR PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-534-8212"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Donham, BS, MHPP
• Andrew Dookhan, MD
• Dorothy Harris (Pine Bluff Optical Company)
• Silakhone Douangkesone, MD
• Misty Ann Douthit
• Dr. Penny's Eye Care Inc.
• Jonda L Drake, BS, MHPP
• Drew Toole, D.D.S., P. a.
• Drews Early Learning Inc
• Laura Elizabeth Drinkwater, MS, RD, LD

• Chiropractor in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.