Individual provider Active NPI

Todd A Brown, M.D.

  • Specialist
  • Wichita, KS
National Provider Identifier
1023057247
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-24547 Issued in KS
Practice address
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone
(316) 260-1690
Fax
(316) 260-1691
NPI assigned
Jun 5, 2006
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-24547 KS Primary

Addresses

Primary practice location

2600 N Woodlawn Blvd
Wichita, KS 67220-2729

Mailing address

4900 S. Monaco St
Suite 210
Denver, CO 80237-3486
Phone (316) 260-1690

Other identifiers 1

IdentifierTypeStateIssuer
100177490CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000747 KS Practitioner - General Surgery 4880639467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffey County Medical CenterGroup PAC ID 4880588391, 14 clinicians

Practice addresses (Care Compare)

309 Sanders St
Burlington, KS 66839-2616
Phone (620) 364-5395

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux33
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-24547KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey County Hospital Current Accepting new patients
Coffey County Hospital CurrentSince Jan 17, 2023 Accepting new patients
Coffey County Hospital CurrentSince Jan 17, 2023 Accepting new patients
Coffey County Medical Center CurrentSince Jan 17, 2023 Accepting new patients
Coffey County Hospital Past Accepting new patients
Wesley Physicians Medical Specialties LLC Past Accepting new patients

Locations

309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

Interoperability endpoints

  • Direct secure messaging: tbrown@coffeyhealthdirect.org

Organizations & group practices 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1023057247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "316-260-1690",
            "fax_number": "316-260-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-260-1690",
            "fax_number": "316-260-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177490C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.