Individual provider Active NPI

Talia Morgan Brown, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newington, CT
National Provider Identifier
1013597186
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
001163 Issued in CT
Practice address
505 Willard Ave Ste D
Newington, CT 06111-2650
Phone
(860) 666-2078
NPI assigned
Apr 12, 2021
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 001163 CT Primary

Addresses

Primary practice location

505 Willard Ave Ste D
Newington, CT 06111-2650

Mailing address

7460 Viale Michelangelo
Delray Beach, FL 33446-3759
Phone (561) 501-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002552 CT Practitioner - Podiatry 6608215744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Foot Care Centers LLCGroup PAC ID 7517054067, 4 clinicians

Practice addresses (Care Compare)

505 Willard Ave
Suite D Building 2
Newington, CT 06111-2650
Phone (860) 666-2078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of skin lesions1-10
Removal of nail tissue289
Removal or shaving of skin growth279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1163CTMDAddiction (Substance Use Disorder) Counselor
001163CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Foot Care Centers LLC CurrentSince Apr 15, 2024 Accepting new patients
Connecticut Foot Care Centers LLC CurrentSince Apr 15, 2024 Accepting new patients
Connecticut Foot Care Centers LLC Past Accepting new patients

Locations

51 Burlington Ave
Bristol, CT 06010
Phone (860) 582-0747

85 Church St
Ste 500
Middletown, CT 06457
Phone (860) 346-8657

505 Willard Ave
Ste D
Newington, CT 06111
Phone (860) 665-2078

506 Cromwell Ave
Ste 204
Rocky Hill, CT 06067
Phone (860) 563-1200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1013597186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 VIALE MICHELANGELO",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463759",
            "telephone_number": "561-501-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE D",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-666-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TALIA",
        "middle_name": "MORGAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.