Individual provider Active NPI

Gary S Drown, DC

  • Chiropractor
  • S Yarmouth, MA
National Provider Identifier
1477635399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1522 Issued in MA
Practice address
23 A 2 Whites Path
S Yarmouth, MA 02664
Phone
(508) 394-1112
Fax
(508) 394-1113
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1522 MA Primary

Addresses

Primary practice location

23 A 2 Whites Path
S Yarmouth, MA 02664

Mailing address

23 A 2 Whites Path
S Yarmouth, MA 02664
Phone (508) 394-1112

Other identifiers 2

IdentifierTypeStateIssuer
Y36062OtherBCBS
35272OtherHARVARD PILGRIM

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477635399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 A 2 WHITES PATH",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "02664",
            "telephone_number": "508-394-1112",
            "fax_number": "508-394-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 A 2 WHITES PATH",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "02664",
            "telephone_number": "508-394-1112",
            "fax_number": "508-394-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROWN",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "35272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.