Provider Demographics
NPI:1477562411
Name:BROWN, JOHN DOUGLAS (DC,DACNB)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DOUGLAS
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC,DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 YUPON DR
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-4412
Mailing Address - Country:US
Mailing Address - Phone:205-601-2257
Mailing Address - Fax:
Practice Address - Street 1:112 W SECTION AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3570
Practice Address - Country:US
Practice Address - Phone:205-601-2257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1563 0265111NN0400X
AL1563111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU48453Medicare UPIN
AL51509608Medicare ID - Type UnspecifiedCHIROPRACTOR
ALU48453Medicare UPIN