Organization Active NPI

Brown Chiropractic Clinic PA

  • Chiropractor
  • Russellville, AR
National Provider Identifier
1346367679
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
897 Issued in AR
Legal business name
BROWN CHIROPRACTIC CLINIC PA
Practice address
2101 W Main St
Russellville, AR 72801-2757
Phone
(479) 968-1181
Fax
(479) 967-7279
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Mikel R Brown, D.C.
Title
President
Phone
(479) 968-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 897 AR Primary

Addresses

Primary practice location

2101 W Main St
Russellville, AR 72801-2757

Mailing address

2101 W Main St
Russellville, AR 72801-2757
Phone (479) 968-1181

Other identifiers 1

IdentifierTypeStateIssuer
103794718MedicaidAR

National Provider Directory

National Provider Directory

Locations

2101 W Main St
Russellville, AR 72801
Phone (479) 968-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1346367679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012757",
            "telephone_number": "479-968-1181",
            "fax_number": "479-967-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012757",
            "telephone_number": "479-968-1181",
            "fax_number": "479-967-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-968-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103794718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.