Individual provider Active NPI

Daniel Kenneth Brown, M.D.

  • Forensic Pathology Physician
  • Philadelphia, PA
National Provider Identifier
1043349202
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
MD430779 Issued in PA
Practice address
321 S University Ave
Philadelphia, PA 19104-4543
Phone
(215) 685-7475
Fax
(215) 685-9465
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 052150 GA
Forensic Pathology Physician 207ZF0201X MD430779 PA Primary
Forensic Pathology Physician 207ZF0201X 0101244603 VA

Addresses

Primary practice location

321 S University Ave
Philadelphia, PA 19104-4543

Mailing address

321 S University Ave
Philadelphia, PA 19104-4543
Phone (215) 685-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052150GAMDForensic Pathology Physician
MD430779PAMDForensic Pathology Physician
0101244603VAMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1043349202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S UNIVERSITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044543",
            "telephone_number": "215-685-7475",
            "fax_number": "215-685-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S UNIVERSITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044543",
            "telephone_number": "215-685-7475",
            "fax_number": "215-685-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "GA",
            "license": "052150",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "PA",
            "license": "MD430779",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "VA",
            "license": "0101244603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.