Summerfield Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2482 Issued in NC

Legal business name

SUMMERFIELD FAMILY CHIROPRACTIC

Practice address

4523 US Highway 220 N
Summerfield, NC 27358-9412

Phone

(336) 644-1112

Fax

(336) 644-1118

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Rod C Brown, D.C.NPI 1225019656

Title

Chiropractor/President

Phone

(336) 644-1112

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rod C Brown, D.C.

  • Chiropractor
  • Summerfield, NC
  • NPI 1225019656

  NC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1962483529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 US HIGHWAY 220 N",
            "address_2": "PO BOX 683",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589412",
            "telephone_number": "336-644-1112",
            "fax_number": "336-644-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 US HIGHWAY 220 N",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589412",
            "telephone_number": "336-644-1112",
            "fax_number": "336-644-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERFIELD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "336-644-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0830N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890830N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Summerfield, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.