Provider Demographics
NPI:1013984475
Name:B.J.BROWN CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:B.J.BROWN CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-236-5743
Mailing Address - Street 1:304 WEST ST
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-2358
Mailing Address - Country:US
Mailing Address - Phone:641-236-5743
Mailing Address - Fax:641-236-8657
Practice Address - Street 1:304 WEST ST
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-2358
Practice Address - Country:US
Practice Address - Phone:641-236-5743
Practice Address - Fax:641-236-8657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA21147OtherBCBS IOWA
IA21147OtherBCBS IOWA
T01198Medicare UPIN