Organization Active NPI

Brown Integrated Chiropractic, PLLC

  • Chiropractor
  • Castleton, NY
National Provider Identifier
1508928029
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011329-1 Issued in NY
Legal business name
BROWN INTEGRATED CHIROPRACTIC, PLLC
Practice address
81 Miller Rd Ste 500
Castleton, NY 12033-4044
Phone
(518) 477-4405
Fax
(518) 477-2216
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Jason W Brown, D.C.NPI 1396823589
Title
Organizing Member
Phone
(518) 477-4405

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011329-1 NY Primary

Addresses

Primary practice location

81 Miller Rd Ste 500
Castleton, NY 12033-4044

Mailing address

81 Miller Rd Ste 500
Castleton, NY 12033-4044
Phone (518) 477-4405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000066 NY Part B Supplier - Clinic/Group Practice 2163521501 Receives reassigned benefits from 2 practitioners
Practice locations: Castleton, NY

National Provider Directory

National Provider Directory

Locations

81 Miller Rd
Ste 500
Castleton on Hudson, NY 12033
Phone (518) 213-0399

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1508928029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MILLER RD STE 500",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120334044",
            "telephone_number": "518-477-4405",
            "fax_number": "518-477-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MILLER RD STE 500",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120334044",
            "telephone_number": "518-477-4405",
            "fax_number": "518-477-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN INTEGRATED CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORGANIZING MEMBER",
        "authorized_official_telephone_number": "518-477-4405",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011329-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.