Active NPI
Timothy Brown, DC
- Chiropractor
- Tracy, CA
National Provider Identifier
1659431468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24295
- Practice address
- 1458 Bessie Ave
Tracy, CA 95376-3417 - Phone
- (209) 835-6625
- Fax
- (209) 835-6871
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 24295 | CA | Primary |
Addresses
Primary practice location
1458 Bessie Ave
Tracy, CA 95376-3417
Mailing address
PO Box 1124
Tracy, CA 95378-1124
Phone (209) 835-6625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1458 Bessie Ave
Tracy, CA 95376-3417
Phone (209) 835-6625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
1458 Bessie Ave
Tracy, CA 95376
Phone (209) 835-6625
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.
-
- Chiropractor
- Tracy, CA
- NPI 1508004839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1659431468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1124",
"city": "TRACY",
"state": "CA",
"postal_code": "953781124",
"telephone_number": "209-835-6625",
"fax_number": "209-835-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 BESSIE AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "953763417",
"telephone_number": "209-835-6625",
"fax_number": "209-835-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIMOTHY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.