Provider Demographics
NPI:1104898824
Name:BROWN, MERLYN JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:MERLYN
Middle Name:JAMES
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:PO BOX 2425
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36280-2425
Mailing Address - Country:US
Mailing Address - Phone:256-449-6444
Mailing Address - Fax:
Practice Address - Street 1:76 COUNTY ROAD 64
Practice Address - Street 2:SUITE 4
Practice Address - City:WOODLAND
Practice Address - State:AL
Practice Address - Zip Code:36280-5209
Practice Address - Country:US
Practice Address - Phone:256-449-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51091453OtherBLUECROSSBLUESHIELD
AL000091453Medicare ID - Type Unspecified
ALT68344Medicare UPIN