Dr. Andrew Brown Chiropracitc PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4867 Issued in MN

Legal business name

DR. ANDREW BROWN CHIROPRACITC PC

Practice address

12203 Aberdeen St NE # 140
Blaine, MN 55449-4719

Phone

(763) 785-4120

Fax

(763) 785-4172

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andy William Brown, D.C.

Title

Owner

Phone

(763) 785-4120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew William Brown, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1275687295
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1568507705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE # 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494719",
            "telephone_number": "763-785-4120",
            "fax_number": "763-785-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE # 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494719",
            "telephone_number": "763-785-4120",
            "fax_number": "763-785-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREW BROWN CHIROPRACITC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-785-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Rae Dohman, MA, CCC-SLP
• Don Blakeslee DDS PA
• Amanda Rose Donnelly, PHD
• Laura Elizabeth Dougherty
• Douglas T Jonak DDS PA
• Dr. Rebecca R. Jackson LLC
• Douglas Alan Drew, MA, LICSW
• Gina Rose Dronen, LPCC
• Stephanie Dube
• Nishant Dwivedi, MD

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.