Active NPI
Kevin Burriss Brown, DC
- Chiropractor
- Tehachapi, CA
National Provider Identifier
1548340441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23216
- Practice address
- 20705 South St Ste F
Tehachapi, CA 93561-8650 - Phone
- (661) 473-3473
- NPI assigned
- Oct 16, 2006
- Last updated
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 23216 | CA | Primary |
Addresses
Primary practice location
20705 South St Ste F
Tehachapi, CA 93561-8650
Mailing address
20705 South St Ste F
Tehachapi, CA 93561-8650
Phone (661) 473-3473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548340441 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041207001184 | CA | Practitioner - Chiropractic | 7911963319 | Practice locations: Tehachapi, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20705 S St
Suite F
Tehachapi, CA 93561-8650
Phone (661) 473-3473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J Bruno DC Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Beach Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- Redondo Beach, CA
- NPI 1740551209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1548340441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20705 SOUTH ST STE F",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935618650",
"telephone_number": "661-473-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20705 SOUTH ST STE F",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935618650",
"telephone_number": "661-473-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KEVIN",
"middle_name": "BURRISS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1548340441",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.