Active NPI
David M Brown, DO
- Emergency Medicine Physician
- Portland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02001073A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100375600 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041122000222 | IN | Practitioner - Emergency Medicine | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02001073A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Emergency Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Emergency Medicine, IN
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
IN
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1497185797
Emergency Medicine
-
- Emergency Medicine Physician
- Portland, IN
- NPI 1457302077
Emergency Medicine
-
- Hospitalist Physician
- Portland, IN
- NPI 1538210554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.