Organization Active NPI

Brown City Wellness Center Inc.

  • Chiropractor
  • Brown City, MI
National Provider Identifier
1962713644
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009587 Issued in MI
Legal business name
BROWN CITY WELLNESS CENTER INC.
Practice address
4444 Main St
Brown City, MI 48416-9701
Phone
(810) 346-4300
Fax
(810) 346-4304
NPI assigned
Jun 28, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Mr. Scott Robert Banks
Title
President
Phone
(810) 537-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009587 MI Primary

Addresses

Primary practice location

4444 Main St
Brown City, MI 48416-9701

Mailing address

4444 Main St
Brown City, MI 48416-9701
Phone (810) 346-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101129001030 MI Part B Supplier - Clinic/Group Practice 9133315443 Receives reassigned benefits from 2 practitioners
Practice locations: Brown City, MI; Lexington, MI

National Provider Directory

National Provider Directory

Locations

4444 Main St
Brown City, MI 48416
Phone (810) 346-4300

5590 Main St
Ste 2A
Lexington, MI 48450
Phone (810) 359-7847

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1962713644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169701",
            "telephone_number": "810-346-4300",
            "fax_number": "810-346-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169701",
            "telephone_number": "810-346-4300",
            "fax_number": "810-346-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CITY WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-537-1156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.