Provider Demographics
NPI:1326190059
Name:BROWN, SCOTT R (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:R
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 1:440 DENISON ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6128
Mailing Address - Country:US
Mailing Address - Phone:501-336-0606
Mailing Address - Fax:501-336-0930
Practice Address - Street 1:440 DENISON ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6128
Practice Address - Country:US
Practice Address - Phone:501-336-0606
Practice Address - Fax:501-336-0930
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1481111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR350051585OtherRAILROAD MEDICARE
AR5U144OtherBLUE CROSS
AR710849662OtherPHCS
AR710849662OtherNOVASYS
AR4420115OtherUNITED HEALTH CARE
AR913343OtherFIRST HEALTH
AR710849662OtherMUNICIPAL HEALTH BENEFIT
AR710849662OtherAMCO
AR710849662OtherNOVASYS
AR350051585OtherRAILROAD MEDICARE