Individual provider Active NPI

Michael Eugene Brown Jr., L.AC.

  • Acupuncturist
  • Campbell, CA
National Provider Identifier
1386089258
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15238 Issued in CA
Practice address
621 E Campbell Ave
Suite 7
Campbell, CA 95008-2139
Phone
(408) 724-9999
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15238 CA Primary

Addresses

Primary practice location

621 E Campbell Ave
Suite 7
Campbell, CA 95008-2139

Mailing address

621 E Campbell Ave
Suite 7
Campbell, CA 95008-2139
Phone (408) 724-9999

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC15238CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Heaven Acupuncture Inc Acupuncturist CurrentSince May 29, 2022 Accepting new patients

Locations

621 E Campbell Ave
Ste 7
Campbell, CA 95008
Phone (408) 378-0415

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1386089258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "SUITE 7",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-724-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "SUITE 7",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-724-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.