Daniel R Brown

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016.004890 Issued in IL

Legal business name

DANIEL R BROWN

Practice address

101 N 16TH St
Herrin, IL 62948-1750

Phone

(618) 988-6034

Fax

(618) 988-6479

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Daniel R Brown

Title

Owner

Phone

(618) 988-6034

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Dickinson, DPM

  • Podiatrist
  • Du Quoin, IL
  • NPI 1346372687
  NPD (past)
• Amy R Reeter, D.P.M.

  • Podiatrist
  • Herrin, IL
  • NPI 1669769204
  NPD (past)
• Daniel Raymond Hanon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Blue Springs, MO
  • NPI 1356458970

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1104096684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "address_2": "P.O. BOX 2025",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481750",
            "telephone_number": "618-988-6034",
            "fax_number": "618-988-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481750",
            "telephone_number": "618-988-6034",
            "fax_number": "618-988-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-988-6034"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.004890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cull, PT
• Darrell Scott Cutler, PAC
• Brian K. Daines, M.D.
• Tracy Leanne Dalton, MS CCC-SLP
• Ruth Ann Daly, P.T.
• Victoria Dare, NP
• David E Matthews
• Donald David Davis III, MD
• James Michael Davis, MD
• John Thomas Davis, MD

• All providers in Herrin, IL
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.