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NPI Code Detail

MEDICARE: DR. BRUCE A BROWN D.C.

MEDICARE: DR. BRUCE A 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
1111N00000XChiropractorDC-01265OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175216934200OTHEROHBWC

General Provider Information

NPI Number : 1699788869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE A BROWN D.C.
Provider Business Mailing Address
First Line : 4299 SUGARCREEK DR
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-1330
Country : US
Telephone Number : 937-848-8500
Fax Number : 937-848-9500
Provider Business Practice Location Address
First Line : 4299 SUGARCREEK DR
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-1330
Country : US
Telephone Number : 937-848-8500
Fax Number : 937-848-9500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/15/2020

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Directions to “ DR. BRUCE A BROWN D.C.” Practice Location

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