Individual provider Active NPI

Christopher Brown, MSOM, LAC.

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1710298963
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1348 Issued in CO
Practice address
5757 Central Ave
Suite 55
Boulder, CO 80301-2871
Phone
(303) 817-3938
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1348 CO Primary

Addresses

Primary practice location

5757 Central Ave
Suite 55
Boulder, CO 80301-2871

Mailing address

5757 Central Ave
Suite 55
Boulder, CO 80301-2871
Phone (303) 817-3938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1175 58TH Ave
Suite 200
Greeley, CO 80634-4807

1175 58TH Ave
Suite 202
Greeley, CO 80634-4808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACU-1348COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1710298963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 CENTRAL AVE",
            "address_2": "SUITE 55",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012871",
            "telephone_number": "303-817-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 CENTRAL AVE",
            "address_2": "SUITE 55",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012871",
            "telephone_number": "303-817-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MSOM, LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU-1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.