Individual provider Active NPI

Daniel Lee Brown, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1356574545
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10586 Issued in TX
Practice address
6040 Camp Bowie Blvd
Suite 2
Fort Worth, TX 76116-5612
Phone
(817) 763-8301
Fax
(817) 764-6488
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10586 TX Primary

Addresses

Primary practice location

6040 Camp Bowie Blvd
Suite 2
Fort Worth, TX 76116-5612

Mailing address

6040 Camp Bowie Blvd
Suite 2
Fort Worth, TX 76116-5612
Phone (817) 763-8301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000521 TX Practitioner - Chiropractic 5597935304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Spine & Sportschiropractic Clinic, PLLC Chiropractor CurrentSince May 26, 2011 Accepting new patients
Brown Spine & Sports Chiropractic Clinic Past Accepting new patients

Locations

6040 Camp Bowie Blvd
Ste 2
Fort Worth, TX 76116
Phone (817) 763-8301

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1356574545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 CAMP BOWIE BLVD",
            "address_2": "SUITE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165612",
            "telephone_number": "817-763-8301",
            "fax_number": "817-764-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 CAMP BOWIE BLVD",
            "address_2": "SUITE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165612",
            "telephone_number": "817-763-8301",
            "fax_number": "817-764-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.