MEDICARE: DR. ROBERT NORVILLE BROWN DC

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	655	NC
2	111N00000X	Chiropractor	544	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08276	OTHER	NC	BCBS
2	36568925	OTHER	NC	STATE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174594022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT NORVILLE BROWN DC

Provider Business Mailing Address
First Line	:	PO BOX 339
Second Line	:
City	:	DALLAS
State	:	NC
Zip	:	28034-0339
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 ROECHLING DR
Second Line	:
City	:	DALLAS
State	:	NC
Zip	:	28034-9517
Country	:	US
Telephone Number	:	704-922-8657
Fax Number	:	704-922-2921

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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