Individual provider Active NPI

Vincent David Brown, D.C.

  • Chiropractor
  • Concord, NC
National Provider Identifier
1497747893
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2824 Issued in NC
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

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0844UOtherNCBLUE CROSS/BLUE SHIELD
2652267OtherNCAETNA HMO
7001301OtherNCAETNA PPO
890844UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000726 NC Practitioner - Chiropractic 7719993815 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Brown Family Chiropractic & Wellness PC Chiropractor CurrentSince Sep 15, 2018 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.

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.

Verify at the official NPI Registry.