Active NPI
Andrew William Brown, D.C.
- Chiropractor
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4867
- Practice address
- 12203 Aberdeen St NE # 140
Blaine, MN 55449-4719 - Phone
- (763) 785-4120
- Fax
- (763) 785-4172
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4867 | MN | Primary |
Addresses
Primary practice location
12203 Aberdeen St NE # 140
Blaine, MN 55449-4719
Mailing address
2508 County Road I Apt 102
Mounds View, MN 55112-6228
Phone (218) 591-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12203 Aberdeen St NE
Suite 100
Blaine, MN 55449-5175
Phone (763) 785-4120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4867 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Andrew Brown Chiropracitc PC | Chiropractor | Current | Accepting new patients |
Locations
12203 Aberdeen St NE
Ste 140
Blaine, MN 55449
Phone (763) 785-4120
12203 Aberdeen St NE
Ste 100
Minneapolis, MN 55449
Phone (763) 390-1279
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Blaine, MN
- NPI 1568507705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275687295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 COUNTY ROAD I APT 102",
"city": "MOUNDS VIEW",
"state": "MN",
"postal_code": "551126228",
"telephone_number": "218-591-4801",
"fax_number": "763-785-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12203 ABERDEEN ST NE # 140",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494719",
"telephone_number": "763-785-4120",
"fax_number": "763-785-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANDREW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.