Active NPI
Kevin Michael Brown, DC
- Chiropractor
- Hemet, CA
National Provider Identifier
1700426467
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Jul 10, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34291
- Practice address
- 3012 W Florida Ave
Hemet, CA 92545-3619 - Phone
- (951) 925-7609
- Fax
- (951) 765-1744
- NPI assigned
- Jan 10, 2020
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34291 | CA | Primary |
Addresses
Primary practice location
3012 W Florida Ave
Hemet, CA 92545-3619
Mailing address
3012 W Florida Ave
Hemet, CA 92545-3619
Phone (951) 925-7609
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34291 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Physical Therapy | Single Specialty | Current | Accepting new patients |
| Revive Medical LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1700426467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925453619",
"telephone_number": "951-925-7609",
"fax_number": "951-765-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925453619",
"telephone_number": "951-925-7609",
"fax_number": "951-765-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "34291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.