Renee Ann Brown, D.C.

Individual provider Active NPI Chiropractor · East Lyme, CT

NPI 1356775332 · NPPES record last updated Nov 7, 2016

Key facts

NPI
1356775332
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
001948 (CT)
Practice address
305 Flanders Rd
Suite 6
East Lyme, CT 06333
Phone
(860) 739-3600
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Back Center (4 clinicians)

Practice addresses (Care Compare)

200 Queen St
Southington, CT 06489-1901
Phone (860) 621-2225

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140701001343 CT Practitioner - Chiropractic 4183849342 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Pape Chiropractic & Wellness Center LLC Current
since Jan 3, 2017
Accepting new patients
Advanced Eyecare, LLC Past
since Jan 1, 2007
Accepting new patients

Locations

305 Flanders Rd
Unit 8
East Lyme, CT 06333
Phone (860) 739-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001948 CT Yes

Addresses

Primary practice location

305 Flanders Rd
Suite 6
East Lyme, CT 06333

Mailing address

305 Flanders Rd
Suite 6
East Lyme, CT 06333
Phone (315) 725-0456

Other providers in East Lyme, CT

All providers in East Lyme, CT · Chiropractor in Connecticut

Sources for this page

Verify at the official NPI Registry.