Individual provider Active NPI

Jared Ryan Brown, D.C

  • Chiropractor
  • Savannah, GA
National Provider Identifier
1588009096
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009138 Issued in GA
Practice address
2 Park of Commerce Blvd
Suite D
Savannah, GA 31405-7410
Phone
(912) 777-3717
NPI assigned
May 10, 2013
Last updated
May 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009138 GA Primary

Addresses

Primary practice location

2 Park of Commerce Blvd
Suite D
Savannah, GA 31405-7410

Mailing address

2 Park of Commerce Blvd
Suite D
Savannah, GA 31405-7410
Phone (912) 777-3717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009138GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
KBS Savannah, LLC Chiropractor Current Accepting new patients
Coastal Empire Chiropractic Inc Chiropractor CurrentSince Aug 17, 2013 Accepting new patients
Bliss Chiropractic Inc Chiropractor Past Accepting new patients

Locations

2 Park of Commerce Blvd
Ste D
Savannah, GA 31405
Phone (912) 777-3717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1588009096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK OF COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057410",
            "telephone_number": "912-777-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK OF COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057410",
            "telephone_number": "912-777-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JARED",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.