Chad Brown, CPED

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CP1042 Issued in MO

Practice address

11633 Olive Blvd
Saint Louis, MO 63141-7001

Phone

(314) 872-2929

Fax

(314) 872-2926

NPI assigned

Aug 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Balance St.Louis

  • Customized Equipment (DME)
  • Saint Louis, MO
  • NPI 1285872614
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1053141853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417001",
            "telephone_number": "314-872-2929",
            "fax_number": "314-872-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417001",
            "telephone_number": "314-872-2929",
            "fax_number": "314-872-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHAD",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MO",
            "license": "CP1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce E Brown, MD
• Cameron Michael Brown, MD
• Candace Brown
• Casey Elizabeth Brown, MS, RDN, LD
• Cassidy R Brown
• Channay M Brown, REGISTERED NURSE
• Chelsey Brown, PTA
• Christian Brown
• Christina Brown, AA
• Christina Brown, RN

• Pedorthist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pedorthist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.