Individual provider Active NPI

Bradley Dakota Brown, DC

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1902536394
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3525 Issued in TN
Practice address
635 E Main St Ste 5
Hendersonville, TN 37075-2645
Phone
(615) 824-8484
Fax
(615) 826-0669
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3525 TN Primary

Addresses

Primary practice location

635 E Main St Ste 5
Hendersonville, TN 37075-2645

Mailing address

635 E Main St Ste 5
Hendersonville, TN 37075-2645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527004280 TN Practitioner - Chiropractic 8325518673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 Secretariat PL
Hendersonville, TN 37075-2716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3525TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. J Clifford Brown, a Division of Hendersonville Rehab Clinic, Inc Chiropractor CurrentSince Jun 21, 2022 Accepting new patients
Hendersonville Rehabilitation Center PastSince Jun 21, 2022 Accepting new patients

Locations

635 E Main St
Ste 5
Hendersonville, TN 37075
Phone (615) 824-8484

Organizations & group practices 2

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1902536394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E MAIN ST STE 5",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E MAIN ST STE 5",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752645",
            "telephone_number": "615-824-8484",
            "fax_number": "615-826-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRADLEY",
        "middle_name": "DAKOTA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.