Active NPI
Vincent David Brown, D.C.
- Chiropractor
- Concord, NC
National Provider Identifier
1497747893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2824
- Practice address
- 819 Davidson Dr NW
Concord, NC 28025-4351 - Phone
- (980) 777-8136
- Fax
- (980) 777-8041
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2824 | NC | Primary |
Addresses
Primary practice location
819 Davidson Dr NW
Concord, NC 28025-4351
Mailing address
819 Davidson Dr NW
Concord, NC 28025-4351
Phone (980) 777-8136
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0844U | Other | NC | BLUE CROSS/BLUE SHIELD |
| 2652267 | Other | NC | AETNA HMO |
| 7001301 | Other | NC | AETNA PPO |
| 890844U | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
819 Davidson Dr NW
Concord, NC 28025-4351
Phone (980) 777-8136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Family Chiropractic & Wellness PC | Chiropractor | Current | Accepting new patients |
| Concord Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Bouma Chiropractic Clinic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
819 Davidson Dr NW
Concord, NC 28025
Phone (980) 777-8136
Organizations & group practices 3
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.
-
- Chiropractor
- Concord, NC
- NPI 1609347376
-
- Chiropractor
- Concord, NC
- NPI 1639277536
-
- Chiropractor
- Indiana, PA
- NPI 1043258049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1497747893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 DAVIDSON DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254351",
"telephone_number": "980-777-8136",
"fax_number": "980-777-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 DAVIDSON DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254351",
"telephone_number": "980-777-8136",
"fax_number": "980-777-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "VINCENT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0844U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2652267",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7001301",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890844U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.