MEDICARE: DR. DARYL PALMER BROWN CHIROPRACTOR

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	988	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70534	OTHER	AL	BLUE CROSS BLUE SHIELD #

General Provider Information

NPI Number	:	1346235504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARYL PALMER BROWN CHIROPRACTOR

Provider Business Mailing Address
First Line	:	1420 MCFARLAND BLVD
Second Line	:	SUITE 8
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3265
Country	:	US
Telephone Number	:	205-333-7227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 MCFARLAND BLVD
Second Line	:	SUITE 8
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3265
Country	:	US
Telephone Number	:	205-333-7227
Fax Number	:

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/13/2010

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