Organization Active NPI

Brown Family Chiropractic & Wellness PC

  • Chiropractor
  • Concord, NC
National Provider Identifier
1609347376
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BROWN FAMILY CHIROPRACTIC & WELLNESS PC
Practice address
819 Davidson Dr NW
Concord, NC 28025-4351
Phone
(980) 777-8136
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Dr. Vincent David BrownNPI 1497747893
Title
Chiropractic Physician/ Owner
Phone
(980) 777-8136

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 Primary

Addresses

Primary practice location

819 Davidson Dr NW
Concord, NC 28025-4351

Mailing address

819 Davidson Dr NW
Concord, NC 28025-4351
Phone (980) 777-8136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181211000059 NC Part B Supplier - Clinic/Group Practice 4284978743 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, NC

National Provider Directory

National Provider Directory

Locations

819 Davidson Dr NW
Concord, NC 28025
Phone (980) 777-8136

Practitioners & affiliated clinicians

Practitioners 1

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": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1609347376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "980-777-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "980-777-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY CHIROPRACTIC & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "980-777-8136",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.