Individual provider Active NPI

Christopher John Brown, DC

  • Chiropractor
  • Orangeburg, SC
National Provider Identifier
1245077288
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5093 Issued in SC
Practice address
761 John C Calhoun Dr
Orangeburg, SC 29115-6082
Phone
(803) 536-1635
Fax
(803) 536-1604
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5093 SC Primary

Addresses

Primary practice location

761 John C Calhoun Dr
Orangeburg, SC 29115-6082

Mailing address

761 John C Calhoun Dr
Orangeburg, SC 29115-6082
Phone (803) 536-1635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002563 SC Practitioner - Chiropractic 7315471281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5093SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis J Shay DC PA Chiropractor CurrentSince Jul 7, 2024 Accepting new patients

Locations

761 John C Calhoun Dr
Orangeburg, SC 29115
Phone (803) 536-1635

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1245077288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 JOHN C CALHOUN DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156082",
            "telephone_number": "803-536-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHN C CALHOUN DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156082",
            "telephone_number": "803-536-1635",
            "fax_number": "803-536-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.