Individual provider Active NPI

Nicole Elizabeth Brown, DC

  • Chiropractor
  • Milwaukie, OR
National Provider Identifier
1841904455
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6278 Issued in OR
Practice address
3716 SE International Way
Milwaukie, OR 97222-6001
Phone
(503) 659-0073
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 6278 OR Primary

Addresses

Primary practice location

3716 SE International Way
Milwaukie, OR 97222-6001

Mailing address

6425 SE Holgate Blvd Apt 5
Portland, OR 97206-3682
Phone (315) 591-5399

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nicolebrown.dc@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301002198 OR Practitioner - Chiropractic 8628441219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3716 SE International Way
Milwaukie, OR 97222-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6278ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Brown Prof Corp Chiropractor Current Accepting new patients
Keith D. Johns D.C., P.C. Chiropractor CurrentSince Jan 20, 2023 Accepting new patients
Milwaukie Chiropractic Center Chiropractor PastSince Jan 15, 2023 Accepting new patients

Locations

3716 SE International Way
Portland, OR 97222
Phone (503) 659-0073

Organizations & group practices 3

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1841904455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 SE HOLGATE BLVD APT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063682",
            "telephone_number": "315-591-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SE INTERNATIONAL WAY",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226001",
            "telephone_number": "503-659-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicolebrown.dc@gmail.com",
            "affiliation": "N",
            "address_1": "3716 SE International Way",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972226001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

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