Individual provider Active NPI

Brian L Brown, D.C.

  • Chiropractor
  • Myrtle Beach, SC
National Provider Identifier
1639400591
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3721 Issued in SC
Practice address
1259 38TH Ave N
Myrtle Beach, SC 29577-1313
Phone
(843) 605-1600
Fax
(843) 872-0484
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3721 SC Primary
Chiropractor 111N00000X 011804-1 NY

Addresses

Primary practice location

1259 38TH Ave N
Myrtle Beach, SC 29577-1313

Mailing address

PO Box 50993
Myrtle Beach, SC 29579-0017
Phone (843) 605-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140619001466 SC Practitioner - Chiropractic 1355565029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Sweis Family Wellness LLCGroup PAC ID 1254595721, 3 clinicians

Practice addresses (Care Compare)

1259 38TH Ave
Myrtle Beach, SC 29577-1313

1259 38TH Ave N
Myrtle Beach, SC 29577-1313
Phone (843) 605-1600

PO Box
Suite 50993
Myrtle Beach, SC 29579-0017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011804-1NYMDChiropractor
3721SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweis Family Wellness LLC Chiropractor CurrentSince Nov 1, 2018 Accepting new patients

Locations

1259 38th Ave N
Myrtle Beach, SC 29577
Phone (843) 605-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1639400591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50993",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790017",
            "telephone_number": "843-605-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 38TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771313",
            "telephone_number": "843-605-1600",
            "fax_number": "843-872-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3721",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011804-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.

Verify at the official NPI Registry.