Individual provider Active NPI

Michael N. Brown, D.P.M.

  • Podiatrist
  • Redding, CA
National Provider Identifier
1104866102
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1825 Issued in CA
Practice address
2216 Buenaventura Blvd Ste a
Redding, CA 96001-3838
Phone
(530) 891-3338
Fax
(530) 221-2111
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1825 CA Primary

Addresses

Primary practice location

2216 Buenaventura Blvd Ste a
Redding, CA 96001-3838

Mailing address

2103 Forest Ave
Chico, CA 95928-7680
Phone (530) 895-3668

Other practice location 1

1806 Foundation Ln
Chico, CA 95928-9206
Phone (530) 891-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070330000621 CA Practitioner - Podiatry 1658323803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Foot and Ankle Specialist IncGroup PAC ID 3870840812, 7 clinicians

Practice addresses (Care Compare)

1806 Foundation LN
Chico, CA 95928-9206
Phone (530) 891-3338

Merit-based Incentive Payment System (MIPS)

Final score
83.35 of 100Reported as individual
Quality
69.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions115
Removal of nail tissue699
Removal or shaving of skin growth556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1825CAMDPodiatrist
E3392CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstate Foot & Ankle Specialist Inc Podiatrist CurrentSince Aug 6, 2018 Accepting new patients
Northstate Foot & Ankle Specialist Inc Podiatrist CurrentSince Aug 6, 2018 Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1806 Foundation Ln
Chico, CA 95928
Phone (530) 891-3338

2103 Forest Ave
Chico, CA 95928
Phone (530) 895-3668

2216 Buenaventura Blvd
Ste A
Redding, CA 96001
Phone (530) 221-1666

Interoperability endpoints

  • Direct secure messaging: mbrown15184@enloedirect.org
  • Direct secure messaging: michael.brown.1@17799.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1104866102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287680",
            "telephone_number": "530-895-3668",
            "fax_number": "530-895-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BUENAVENTURA BLVD STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013838",
            "telephone_number": "530-891-3338",
            "fax_number": "530-221-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 Foundation Ln",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959289206",
            "country_code": "US",
            "telephone_number": "530-891-3338",
            "fax_number": "530-894-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.