Individual provider Active NPI

Clarence W. Brown III, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1770538878
Registry record updated Nov 3, 2015
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 1128a(3) exclusion effective May 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010595 Issued in IL
Practice address
118 N Clinton St
Suite 103
Chicago, IL 60661-2386
Phone
(312) 876-1600
Fax
(312) 876-1616
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010595 IL Primary

Addresses

Primary practice location

118 N Clinton St
Suite 103
Chicago, IL 60661-2386

Mailing address

118 N Clinton St
Suite 103
Chicago, IL 60661-2386
Phone (312) 876-1600

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038010595ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Integrated Medical Center LTD CurrentSince Jun 8, 2019 Accepting new patients
Dr. Jonathan Brown Chiropractor Past Accepting new patients
Brown Spinal Care, Inc. Chiropractor PastSince May 1, 2006 Accepting new patients
Dr. CB3 Wellness, Inc. Chiropractor Past Accepting new patients

Locations

118 N Clinton St
Ste 103
Chicago, IL 60661
Phone (312) 208-9990

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1770538878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST",
            "address_2": "SUITE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612386",
            "telephone_number": "312-876-1600",
            "fax_number": "312-876-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST",
            "address_2": "SUITE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612386",
            "telephone_number": "312-876-1600",
            "fax_number": "312-876-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLARENCE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.