Individual provider Active NPI

Nicholas Brown, D.C.

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1891099198
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002544A Issued in IN
Practice address
3128 Poplar St
Terre Haute, IN 47803-2665
Phone
(812) 232-3718
Fax
(812) 232-7247
NPI assigned
Dec 29, 2010
Last updated
Dec 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002544A IN Primary

Addresses

Primary practice location

3128 Poplar St
Terre Haute, IN 47803-2665

Mailing address

236 Van Buren Blvd
Terre Haute, IN 47803-1923
Phone (812) 229-0655

Other identifiers 2

IdentifierTypeStateIssuer
150270001OtherINMEDICARE PTAN
201030750MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301001151 IN Practitioner - Chiropractic 8921289554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3128 Poplar St
Terre Haute, IN 47803-2665
Phone (812) 232-3718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002544AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Relief Chiropractic, LLC Chiropractor CurrentSince Jan 3, 2022 Accepting new patients
Associated Chiropractic Specialists, PC Chiropractor CurrentSince Jun 12, 2015 Accepting new patients
Benton Family Healthcare LLC Chiropractor PastSince Jan 2, 2022 Accepting new patients

Locations

3128 Poplar St
Terre Haute, IN 47803
Phone (812) 232-3718

425 E Margaret Dr
Terre Haute, IN 47802
Phone (812) 242-2225

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1891099198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 VAN BUREN BLVD",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031923",
            "telephone_number": "812-229-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 POPLAR ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032665",
            "telephone_number": "812-232-3718",
            "fax_number": "812-232-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002544A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "150270001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201030750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.