Individual provider Active NPI

Kristopher Matthew Brown, AU.D.

  • Audiologist
  • Lakeway, TX
National Provider Identifier
1104510684
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81516 Issued in TX
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

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250423003346 TX Practitioner - Qualified Audiologist 5991221897 Reassigns benefits to 1 organization

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
Comprehensive ENT Center of TexasGroup PAC ID 5092898056, 5 clinicians

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

LicenseStateTypeSpecialty
81516TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive ENT Center of Texas CurrentSince Apr 14, 2025 Accepting new patients
Comprehensive Hearing Center of Texas PA Audiologist PastSince Apr 14, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.