Individual provider Active NPI

Glenn Arlo Brownlie, DC

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1316099740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5968 Issued in AZ
Practice address
120 Grove Ave
Prescott, AZ 86301-2910
Phone
(928) 445-9781
Fax
(928) 445-3807
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5968 AZ Primary

Addresses

Primary practice location

120 Grove Ave
Prescott, AZ 86301-2910

Mailing address

120 Grove Ave
Prescott, AZ 86301-2910
Phone (928) 445-9781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000950 AZ Practitioner - Chiropractic 8123045150 Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Grove Ave
Prescott, AZ 86301-2910
Phone (928) 445-9781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316099740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GROVE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012910",
            "telephone_number": "928-445-9781",
            "fax_number": "928-445-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GROVE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012910",
            "telephone_number": "928-445-9781",
            "fax_number": "928-445-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLIE",
        "first_name": "GLENN",
        "middle_name": "ARLO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

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.

Verify at the official NPI Registry.