Individual provider Active NPI

David M Brown, DO

  • Emergency Medicine Physician
  • Portland, IN
National Provider Identifier
1043259245
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02001073A Issued in IN
Practice address
500 W Votaw St
Portland, IN 47371-1322
Phone
(260) 726-7131
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02001073A IN
Emergency Medicine Physician 207P00000X 02001073A IN Primary

Addresses

Primary practice location

500 W Votaw St
Portland, IN 47371-1322

Mailing address

PO Box 609
Portland, IN 47371-0609
Phone (260) 726-9027

Other practice location 1

822 S 500 W
Portland, IN 47371-8377
Phone (260) 726-9027

Other identifiers 1

IdentifierTypeStateIssuer
100375600MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbrown58@direct.iuhealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000222 IN Practitioner - Emergency MedicinePractitioner - Family Practice 7911962725 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001073AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Jan 1, 2020 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Preferred Medical, PC Past Accepting new patients
Preferred Emergency Physicians Emergency Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Jay County Hospital Emergency Medicine Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

428 W Votaw St
#B
Portland, IN 47371

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

710 N East St
Wabash, IN 46992
Phone (219) 563-3131

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

Interoperability endpoints

  • Direct secure messaging: dbrown58@direct.iuhealth.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 and National Provider Directory roles.

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": "1613692800000",
    "number": "1043259245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473710609",
            "telephone_number": "260-726-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 S 500 W",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "IN",
            "postal_code": "473718377",
            "country_code": "US",
            "telephone_number": "260-726-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001073A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02001073A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100375600",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrown58@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "500 W Votaw St",
            "city": "Portland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473711322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

Verify at the official NPI Registry.