Individual provider Active NPI

Nicholas Richard Brown, D.C.

  • Chiropractor
  • Albany, OR
National Provider Identifier
1245286798
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2284 Issued in OR
Practice address
2216 9TH Ave SE
Albany, OR 97322-5022
Phone
(541) 967-8060
Fax
(541) 967-5089
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 2284 OR Primary

Addresses

Primary practice location

2216 9TH Ave SE
Albany, OR 97322-5022

Mailing address

2216 9TH Ave SE
Albany, OR 97322-5022
Phone (541) 967-8060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000885 OR Practitioner - Chiropractic 9234187857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2216 9TH Ave SE
Albany, OR 97322-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
27 2284ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Linn Chiropractic Clinic PC Chiropractor CurrentSince Nov 1, 2017 Accepting new patients
Timber Linn Chiropractic Clinic CurrentSince Sep 1, 2000 Accepting new patients

Locations

2216 9th Ave SE
Albany, OR 97322
Phone (541) 967-8060

Organizations & group practices 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1245286798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225022",
            "telephone_number": "541-967-8060",
            "fax_number": "541-967-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225022",
            "telephone_number": "541-967-8060",
            "fax_number": "541-967-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.