Mark Brown, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-004562-L Issued in PA

Practice address

1306 Cottman Ave
Phila, PA 19111-3606

Phone

(215) 745-1212

Fax

(215) 745-4427

NPI assigned

Jul 20, 2006

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northeast Family Medical and Rehabilitation Center, P.C

  • Rehabilitation Chiropractor
  • Philadelphia, PA
  • NPI 1679795843
  Medicare reassignment NPD Authorized official
• David W Barnes

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1538409503
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710907712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 COTTMAN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-745-1212",
            "fax_number": "215-745-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 COTTMAN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191113606",
            "telephone_number": "215-745-1212",
            "fax_number": "215-745-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004562-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Brooks, B.S.
• Jeffrey M Brosof, OD
• James A. Brown
• Lafleur Brown
• Larheim Brown, M.S.
• Sugkora Denae Brown
• Bruce L Bruskoff, DPM
• James Bryant, RVT, RDCS
• Resnee Ann Bryant
• Samantha Capcino Bryant, M.S. CCC-SLP

• Chiropractor in Phila, PA
• Providers in Phila, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.