Individual provider Active NPI

Philip Richard Brown, D.C

  • Chiropractor
  • Middletown, DE
National Provider Identifier
1831636190
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12059 Issued in FL
Practice address
421 E Main St Ste 6
Middletown, DE 19709-1463
Phone
(302) 376-5830
Fax
(302) 376-6517
NPI assigned
Jan 25, 2017
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12059 FL Primary

Addresses

Primary practice location

421 E Main St Ste 6
Middletown, DE 19709-1463

Mailing address

13 Gloucester CT
Newark, DE 19702-4216
Phone (772) 633-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210308001181 VA Practitioner - Chiropractic 8628316726 Reassigns benefits to 2 organizations
I20230805000067 DE Practitioner - Chiropractic 8628316726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Integrative Healthcare LLCGroup PAC ID 7012254378, 5 clinicians

Practice addresses (Care Compare)

421 E Main St
Suite 6
Middletown, DE 19709-1463
Phone (302) 376-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Nov 24, 2020 Accepting new patients
Delaware Integrative Healthcare, LLC CurrentSince Jul 5, 2023 Accepting new patients
Delaware Integrative Healthcare LLC Chiropractor CurrentSince Jul 5, 2023 Accepting new patients
Trochim Family Chiropractic Chiropractor CurrentSince Jan 23, 2023 Accepting new patients
Advanced Whole Health Chiropractic LLC Chiropractor Past Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients

Locations

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

301 W Main St
Bedford, VA 24523
Phone (540) 586-1105

1901 S Main St
Ste 5
Blacksburg, VA 24060

620 N Main St
Ste 202
Blacksburg, VA 24060

6206 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 563-0334

60 Meadow View Ave
Rocky Mount, VA 24151
Phone (540) 420-8560

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1831636190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GLOUCESTER CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024216",
            "telephone_number": "772-633-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MAIN ST STE 6",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091463",
            "telephone_number": "302-376-5830",
            "fax_number": "302-376-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PHILIP",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

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