Active NPI
Douglas S. Brown, D.C.
- Chiropractor
- Hart, MI
National Provider Identifier
1285659029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DB005569
- Practice address
- 107 E Main St
Hart, MI 49420-1106 - Phone
- (231) 873-4400
- Fax
- (231) 873-5443
- NPI assigned
- Jul 13, 2006
- Last updated
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | DB005569 | MI | Primary |
Addresses
Primary practice location
107 E Main St
Hart, MI 49420-1106
Mailing address
107 E Main St
Hart, MI 49420-1106
Phone (231) 873-4400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950F410160 | Other | MI | BCBS PROVIDER ID# |
| 350046466 | Other | MI | RAILROAD MEDICARE ID# |
| 950F410160 | Other | MI | BLUE CARE NETWORK ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100428000852 | MI | Practitioner - Chiropractic | 4789711433 | Practice locations: Hart, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 E Main St
Hart, MI 49420-1106
Phone (231) 873-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB005569 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1285659029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201106",
"telephone_number": "231-873-4400",
"fax_number": "231-873-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201106",
"telephone_number": "231-873-4400",
"fax_number": "231-873-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DOUGLAS",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "DB005569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID#",
"identifier": "950F410160",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID#",
"identifier": "350046466",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK ID#",
"identifier": "950F410160",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hart, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.