Ryan Tyler Brown, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61130303 Issued in WA

Practice address

21 Bellwether Way Ste 101
Bellingham, WA 98225-2961

Phone

(360) 502-7548

Fax

(360) 797-8647

NPI assigned

Jan 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Summit Sports Chiropractic LLCGroup PAC ID 8123411204, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Sports Chiropractic LLC

  • Chiropractor
  • Bellingham, WA
  • NPI 1538823869
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700475274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 PIONEER RIDGE PL",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489086",
            "telephone_number": "360-920-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BELLWETHER WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252961",
            "telephone_number": "360-502-7548",
            "fax_number": "360-797-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Girard St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254004",
            "country_code": "US",
            "telephone_number": "360-734-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RYAN",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61130303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathias Brown
• Micah June Brown, COTA
• Nathan Cunningham Brown
• Nicole Elise Brown
• Paula L. Brown, L.AC.
• Shelby Brown
• Joanne Browne
• Kelly Broyles-Pederson, LMP
• Steven John Bruce, M.D.
• Holly Brugmann

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

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