Organization Active NPI

Brown Chiropractic Corporation

  • Chiropractor
  • Tracy, CA
National Provider Identifier
1508004839
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24295 Issued in CA
Legal business name
BROWN CHIROPRACTIC CORPORATION
Practice address
1458 Bessie Ave
Tracy, CA 95376-3417
Phone
(209) 835-6625
Fax
(209) 835-6871
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Ms. Margo Coreen Silva
Title
Office Manager
Phone
(209) 835-6625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 24295 CA Primary

Addresses

Primary practice location

1458 Bessie Ave
Tracy, CA 95376-3417

Mailing address

PO Box 1124
Tracy, CA 95378-1124
Phone (209) 835-6625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000528 CA Part B Supplier - Clinic/Group Practice 6305900960 Receives reassigned benefits from 2 practitioners
Practice locations: Tracy, CA

National Provider Directory

National Provider Directory

Locations

1458 Bessie Ave
Tracy, CA 95376
Phone (209) 835-6625

404 W Grant Line Rd
Tracy, CA 95376
Phone (209) 833-5080

Practitioners & affiliated clinicians

Practitioners 3

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1508004839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1124",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953781124",
            "telephone_number": "209-835-6625",
            "fax_number": "209-835-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763417",
            "telephone_number": "209-835-6625",
            "fax_number": "209-835-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "COREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-835-6625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.