Individual provider Active NPI

Richard J Browne, MD

  • Surgery Physician
  • Hobart, IN
National Provider Identifier
1043217383
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01048763 Issued in IN
Practice address
1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6791
Phone
(219) 947-6122
Fax
(219) 947-6045
NPI assigned
Jul 1, 2005
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01048763 IN Primary

Addresses

Primary practice location

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6791

Mailing address

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6791
Phone (219) 947-6122

Other identifiers 4

IdentifierTypeStateIssuer
200175380AMedicaidIN
000000092006OtherINBCBS PROVIDER #
020042917OtherINRR MCR PROV #
90001166OtherINBCBS OF IL PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050607000326 IN Practitioner - General Surgery 0345283727 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048763INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Surgery CurrentSince Jul 1, 2012 Accepting new patients
St. Mary Medical Center Inc Past Accepting new patients
Methodist Hospitals Pathology LLC Past Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342
Phone (219) 947-5606

1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122

1400 S Lake Park Ave
Ste 202
Hobart, IN 46342
Phone (219) 947-6142

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

164 Bracken Pkwy
Hobart, IN 46342
Phone (219) 942-1145

9239 Broadway
Merrillville, IN 46410
Phone (219) 736-1010

801 MacArthur Blvd
Ste 402
Munster, IN 46321
Phone (219) 513-0233

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Interoperability endpoints

  • Direct secure messaging: rbrowne4312@ssdirect.comhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1043217383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-947-6122",
            "fax_number": "219-947-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-947-6122",
            "fax_number": "219-947-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01048763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200175380A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "000000092006",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PROV #",
            "identifier": "020042917",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROV #",
            "identifier": "90001166",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.