MEDICARE: DR. MYRON O. BROWN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1566	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1836321	OTHER	TN	FIRST HEALTH
2	10833857	OTHER	TN	CAQH
3	4017452	OTHER	TN	BCBS OF TN
4	669377	OTHER	TN	UNITED HEALTHCARE
5	621865622	OTHER	TN	CHAMPUS TRICARE

General Provider Information

NPI Number	:	1225036049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYRON O. BROWN D.C.

Provider Business Mailing Address
First Line	:	3704B CLARKSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-2202
Country	:	US
Telephone Number	:	615-244-1942
Fax Number	:	615-244-1952

Provider Business Practice Location Address
First Line	:	3704B CLARKSVILLE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-2202
Country	:	US
Telephone Number	:	615-244-1942
Fax Number	:	615-244-1952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	11/04/2011

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