Individual provider Active NPI

Michael Robert Brower, DC

  • Chiropractor
  • Sterling, VA
National Provider Identifier
1356810170
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557533 Issued in VA
Practice address
21631 Ridgetop Cir Ste 155
Sterling, VA 20166-6618
Phone
(703) 404-0350
NPI assigned
Nov 21, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104-557533 VA Primary

Addresses

Primary practice location

21631 Ridgetop Cir Ste 155
Sterling, VA 20166-6618

Mailing address

21 Colorado CT
Charles Town, WV 25414-5512
Phone (610) 295-3577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112000920 TN Practitioner - Chiropractic 9133556855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Michael T Petty DC PLLCGroup PAC ID 9931530714, 2 clinicians

Practice addresses (Care Compare)

10826 Kingston Pike
Knoxville, TN 37934-3004
Phone (865) 675-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557533VAMDChiropractor
04038MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T Petty DC PLLC CurrentSince Nov 2, 2022 Accepting new patients

Locations

10826 Kingston Pike
Knoxville, TN 37934
Phone (865) 675-5050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1356810170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLORADO CT",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145512",
            "telephone_number": "610-295-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21631 RIDGETOP CIR STE 155",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666618",
            "telephone_number": "703-404-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.