Active NPI
Thomas W. Brown, DC
- Internist Chiropractor
- MTN Grove, MO
National Provider Identifier
1679578306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 003677
- Practice address
- 829 East State
MTN. Grove, MO 65711-0528 - Phone
- (417) 926-4141
- Fax
- (417) 926-3757
- NPI assigned
- Jun 17, 2005
- Last updated
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 003677 | MO | Primary |
Addresses
Primary practice location
829 East State
MTN. Grove, MO 65711-0528
Mailing address
829 East State
P.O. Box 528
MTN. Grove, MO 65711-0528
Phone (417) 926-4141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350077266 | Other | MO | RAIL ROAD MEDICARE |
| 1679578306 | Other | MO | NPI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1679578306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 EAST STATE",
"address_2": "P.O. BOX 528",
"city": "MTN. GROVE",
"state": "MO",
"postal_code": "657110528",
"telephone_number": "417-926-4141",
"fax_number": "417-926-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 EAST STATE",
"city": "MTN. GROVE",
"state": "MO",
"postal_code": "657110528",
"telephone_number": "417-926-4141",
"fax_number": "417-926-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "THOMAS",
"middle_name": "W.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MO",
"license": "003677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "350077266",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679578306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in MTN Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.