Individual provider Active NPI

Adam J Brown, DC

  • Chiropractor
  • Big Bend, WI
National Provider Identifier
1366012940
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5619-12 Issued in WI
Practice address
S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495
Phone
(262) 662-9775
NPI assigned
Jun 28, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5619-12 WI Primary

Addresses

Primary practice location

S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495

Mailing address

180 Debbie Dr
Waukesha, WI 53189-7611
Phone (608) 344-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5619-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bend Vernon Releif & Wellness SC Chiropractor CurrentSince Jul 4, 2021 Accepting new patients

Locations

S71W23325 National Ave
Ste 5
Big Bend, WI 53103
Phone 26236100231

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1366012940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DEBBIE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897611",
            "telephone_number": "608-344-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE STE 5",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5619-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.