Organization Active NPI

Nicholas Brown DC Inc

  • Sports Physician Chiropractor
  • Eugene, OR
National Provider Identifier
1487704367
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
272883 Issued in OR
Legal business name
NICHOLAS BROWN DC INC
Practice address
2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone
(541) 484-0360
Fax
(541) 484-9036
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Nicholas Ryan Brown, DCNPI 1194355099
Title
Business Owner
Phone
(541) 484-0360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 272883 OR Primary

Addresses

Primary practice location

2704 Delta Oaks Dr
Eugene, OR 97408-1740

Mailing address

2704 Delta Oaks Dr
Eugene, OR 97408-1740
Phone (541) 484-0360

Other identifiers 1

IdentifierTypeStateIssuer
1750327680OtherNPI

Other names 2

  • Back2Strength Doing business as
  • Back2Strength, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421000941 OR Part B Supplier - Clinic/Group Practice 2769478262 Receives reassigned benefits from 3 practitioners
Practice locations: Eugene, OR
O20220831000772 OR Part B Supplier - Clinic/Group Practice 5890179477 Receives reassigned benefits from 4 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

2704 Delta Oaks Dr
Eugene, OR 97408
Phone (541) 484-0360

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1487704367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740",
            "telephone_number": "541-484-0360",
            "fax_number": "541-484-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740",
            "telephone_number": "541-484-0360",
            "fax_number": "541-484-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS BROWN DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "541-484-0360",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "272883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750327680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back2Strength",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back2Strength, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.