Individual provider Active NPI

Stephen Fitzsimmons Brown, DC

  • Orthopedic Chiropractor
  • Dunmore, PA
National Provider Identifier
1336129790
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC0004338-L Issued in PA
Practice address
1767 Quincy Ave
Dunmore, PA 18509-2132
Phone
(570) 341-5544
Fax
(570) 341-5545
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X DC0004338-L PA Primary

Addresses

Primary practice location

1767 Quincy Ave
Dunmore, PA 18509-2132

Mailing address

1767 Quincy Ave
Dunmore, PA 18509-2132
Phone (570) 341-5544

Other identifiers 1

IdentifierTypeStateIssuer
0012212490002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0004338-LPAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Friedman Chiropractic, LLC PastSince May 22, 2022 Accepting new patients
Brown Chiropractic PastSince Jan 1, 1990 Accepting new patients

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1336129790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092132",
            "telephone_number": "570-341-5544",
            "fax_number": "570-341-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092132",
            "telephone_number": "570-341-5544",
            "fax_number": "570-341-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHEN",
        "middle_name": "FITZSIMMONS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC0004338-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012212490002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.