Provider Demographics
NPI:1316002272
Name:BROWN, BRET COVEY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:COVEY
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 STILLWATER AVE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-7367
Mailing Address - Country:US
Mailing Address - Phone:307-778-7648
Mailing Address - Fax:
Practice Address - Street 1:1439 STILLWATER AVE
Practice Address - Street 2:SUITE #5
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-7367
Practice Address - Country:US
Practice Address - Phone:307-778-7648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY311878OtherBLUE CROSS BLUE SHIELD
WY311878OtherBLUE CROSS BLUE SHIELD