Active NPI
David Edward Brown, D.O.
- Surgery Physician
- Lamar, MO
National Provider Identifier
1083614291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R8707
- Practice address
- 250 SE 15TH Rd
Lamar, MO 64759-9272 - Phone
- (417) 681-5284
- Fax
- (417) 681-5505
- NPI assigned
- Jul 29, 2005
- Last updated
- May 5, 2015
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | KS0520825 | KS | |
| Surgery Physician | 208600000X | R8707 | MO | Primary |
Addresses
Primary practice location
250 SE 15TH Rd
Lamar, MO 64759-9272
Mailing address
PO Box 607
Lamar, MO 64759-0607
Phone (913) 904-8446
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057860 | Other | KS | BCBS OF KS |
| 25661017 | Other | MO | BCBS OF KC(GRP) |
| 100189880-C | Medicaid | KS | |
| 120000760 | Other | KS | RR MEDICARE |
| 431270614 | Other | KS | TRIWEST |
| 241757137 | Medicaid | MO | |
| 25662015 | Other | MO | BCBS OF KC(IND) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, AR, IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12788 Olive Blvd
Creve Coeur, MO 63141-6211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS0520825 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients |
Locations
2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007
Interoperability endpoints
- ms_dbrow509@landmarkhealth-direct.org
Organizations & group practices 4
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.
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dba CORA Physical Therapy - Creve Coeur
- Rehabilitation Clinic/Center
- Creve Coeur, MO
- NPI 1679947774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1083614291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "LAMAR",
"state": "MO",
"postal_code": "647590607",
"telephone_number": "913-904-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SE 15TH RD",
"city": "LAMAR",
"state": "MO",
"postal_code": "647599272",
"telephone_number": "417-681-5284",
"fax_number": "417-681-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DAVID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "KS0520825",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R8707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KS",
"identifier": "057860",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC(GRP)",
"identifier": "25661017",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100189880-C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "120000760",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "431270614",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241757137",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC(IND)",
"identifier": "25662015",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lamar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.