Organization Active NPI

Brown Chiropractic Center, PC

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1760686612
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1790 Issued in MA
Legal business name
BROWN CHIROPRACTIC CENTER, PC
Practice address
45 Pearl St
Brockton, MA 02301-2858
Phone
(508) 587-8988
Fax
(508) 580-6019
NPI assigned
Jun 13, 2007
Last updated
Sep 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Richard Brown, D.C.NPI 1053354928
Title
Owner
Phone
(508) 587-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1790 MA Primary

Addresses

Primary practice location

45 Pearl St
Brockton, MA 02301-2858

Mailing address

45 Pearl St
Brockton, MA 02301-2858
Phone (508) 587-8988

Other identifiers 1

IdentifierTypeStateIssuer
9744291MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000643 MA Part B Supplier - Clinic/Group Practice 8325052459 Receives reassigned benefits from 2 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

45 Pearl St
Brockton, MA 02301
Phone (508) 580-0044

12 Beach St
Wollaston, MA 02170
Phone (617) 328-0839

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1760686612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012858",
            "telephone_number": "508-587-8988",
            "fax_number": "508-580-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012858",
            "telephone_number": "508-587-8988",
            "fax_number": "508-580-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-587-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9744291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.