Active NPI
Jason R Brown, D.C.
- Chiropractor
- Reston, VA
National Provider Identifier
1316229032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001853
- Practice address
- 11700 Bowman Green Dr
Reston, VA 20190-3501 - Phone
- (703) 489-5038
- NPI assigned
- Sep 20, 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 | 0104001853 | VA | Primary |
Addresses
Primary practice location
11700 Bowman Green Dr
Reston, VA 20190-3501
Mailing address
11700 Bowman Green Dr
Reston, VA 20190-3501
Phone (703) 489-5038
Other practice location 1
6969 Richmond Hwy
Alexandria, VA 22306-1839
Phone (703) 721-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11700 Bowman Green Dr
Reston, VA 20190-3501
Phone (571) 485-5793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001853 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Chiropractic Group LLC | Chiropractor | Current | Accepting new patients |
| Bodnar Chiropractic Center Inc | Chiropractor | Past | Accepting new patients |
Locations
11700 Bowman Green Dr
Reston, VA 20190
Phone (571) 375-2630
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.
-
- Chiropractor
- Alexandria, VA
- NPI 1437322682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1316229032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 BOWMAN GREEN DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201903501",
"telephone_number": "703-489-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 BOWMAN GREEN DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201903501",
"telephone_number": "703-489-5038"
}
],
"practiceLocations": [
{
"address_1": "6969 Richmond Hwy",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223061839",
"country_code": "US",
"telephone_number": "703-721-0500",
"fax_number": "703-721-0534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.