Brown Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2961-12 Issued in WI

Legal business name

BROWN FAMILY CHIROPRACTIC LLC

Practice address

6240 Bankers Rd
Mount Pleasant, WI 53403-9747

Phone

(262) 598-0918

Fax

(262) 598-0941

NPI assigned

Sep 10, 2013

Last updated

Dec 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penny Marie Niccolai

Title

Office Manager

Phone

(262) 598-0918

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Jean Brown, D.C.

  • Chiropractor
  • Racine, WI
  • NPI 1578620423
  Medicare reassignment
• Chloe Pancake-Garst, DC

  • Chiropractor
  • Mount Pleasant, WI
  • NPI 1649185117
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1568897445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 BANKERS RD LOWR LEVEL",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039747",
            "telephone_number": "262-598-0918",
            "fax_number": "262-598-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 BANKERS RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039747",
            "telephone_number": "262-598-0918",
            "fax_number": "262-598-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "NICCOLAI",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-598-0918"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2961-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38873500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Brieske, RDN
• Lily Brock, PT, DPT
• Lenora M. Brockman, M.D.
• Andrew Bromir, PA-C
• Kelli Brossart, MSW, LCSW
• Alissa Rose Brown, CRNA
• Dustin Mark Brown, M.D.
• Jana Brown, PHARM D
• Michelle Brown
• Heather Lee Bruinsma, NP

• Chiropractor in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.