Active NPI
Kristopher Matthew Brown, AU.D.
- Audiologist
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81516
- Practice address
- 2220 Lakeway Blvd Ste 120
Lakeway, TX 78734-5136 - Phone
- (866) 525-3929
- NPI assigned
- Jun 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 81516 | TX | Primary |
Addresses
Primary practice location
2220 Lakeway Blvd Ste 120
Lakeway, TX 78734-5136
Mailing address
7801 Shoal Creek Blvd Apt 107
Austin, TX 78757-1001
Phone (512) 773-0241
Other practice location 1
1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone (855) 547-8369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Philomena St
Suite 175
Austin, TX 78723-3574
Phone (512) 478-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81516 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive ENT Center of Texas | Current | Accepting new patients | |
| Comprehensive Hearing Center of Texas PA | Audiologist | Past | Accepting new patients |
Locations
1401 Philomena St
Ste 175
Austin, TX 78723
Phone (512) 478-2273
3607 Manor Rd
Ste 101
Austin, TX 78723
Phone (512) 478-2273
701 E FM 1626
Ste 204
Austin, TX 78748
Phone (512) 270-8047
Interoperability endpoints
- https://api.platform.athenahealth.com/13346/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Austin, TX
- NPI 1780709675
-
- Audiologist
- Austin, TX
- NPI 1205263753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1104510684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 SHOAL CREEK BLVD APT 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571001",
"telephone_number": "512-773-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 LAKEWAY BLVD STE 120",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787345136",
"telephone_number": "866-525-3929"
}
],
"practiceLocations": [
{
"address_1": "1340 Wonder World Dr Ste 4301",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "TX",
"postal_code": "786667695",
"country_code": "US",
"telephone_number": "855-547-8369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KRISTOPHER",
"middle_name": "MATTHEW",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.