Individual provider Active NPI

Cameron Brown, DC

  • Chiropractor
  • Clermont, FL
National Provider Identifier
1962023101
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13015 Issued in FL
Practice address
235 Hatteras Ave Ste 100
Clermont, FL 34711-7401
Phone
(216) 536-6433
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13015 FL Primary

Addresses

Primary practice location

235 Hatteras Ave Ste 100
Clermont, FL 34711-7401

Mailing address

235 Hatteras Ave Ste 100
Clermont, FL 34711-7401

Other practice location 1

120 International Pkwy Ste 124
Lake Mary, FL 32746-5052
Phone (407) 829-2133

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nuwavehealthandwellness@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920003065 FL Practitioner - Chiropractic 4587061528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John C Theeck D.C., P.a.Group PAC ID 8729110291, 6 clinicians

Practice addresses (Care Compare)

1950 Laurel Manor Dr
Suite 204
The Villages, FL 32162-5608
Phone (352) 259-0024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13015FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuwave Health & Wellness LLC Chiropractor CurrentSince Jan 6, 2020 Accepting new patients
Heathrow Chiropractic Inc Chiropractor PastSince Mar 9, 2018 Accepting new patients
Orlando Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

235 Hatteras Ave
Clermont, FL 34711
Phone (352) 255-6130

235 Hatteras Ave
Ste 100
Clermont, FL 34711
Phone (352) 242-0676

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1962023101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HATTERAS AVE STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HATTERAS AVE STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117401",
            "telephone_number": "216-536-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 International Pkwy Ste 124",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465052",
            "country_code": "US",
            "telephone_number": "407-829-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nuwavehealthandwellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "The doctors office email",
            "address_1": "235 Hatteras Ave Ste 100",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347117401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.