Active NPI
Brown Chiropractic Clinic PA
- Chiropractor
- Russellville, AR
National Provider Identifier
1346367679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 897
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103794718 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Toledo, OH
- NPI 1427055383
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.