Active NPI
Daniel Edward Brown, DPM
- Podiatrist
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2215
- Practice address
- 6 Essex Center Dr
Suite 208 - Peabody Podiatry
Peabody, MA 01960-2904 - Phone
- (978) 531-9969
- Fax
- (978) 531-3745
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2215 | MA | Primary |
Addresses
Primary practice location
6 Essex Center Dr
Suite 208 - Peabody Podiatry
Peabody, MA 01960-2904
Mailing address
19 Desmond Ave
Apartment E
Manchester, MA 01944-1355
Phone (774) 239-4534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708143 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Essex Ctr Dr
Suite 208
Peabody, MA 01960-2906
Phone (978) 531-9969
Hospital & facility affiliations
- North Shore Medical Center -
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 46 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2303 |
| Removal or shaving of skin growth | 937 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2215 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peabody Podiatry LLC | Current | Accepting new patients | |
| Sanphy Podiatry Group, Inc. | Podiatrist | Past | Accepting new patients |
| Saint Vincent Radiological Associates Inc | Past | Accepting new patients |
Locations
6 Essex Center Dr
Ste 208
Peabody, MA 01960
Phone (978) 531-9969
Interoperability endpoints
- brown.daniel.ppdpm@direct.partners.masshiway.net
- dbrown35859@direct.bilh.masshiway.net
Organizations & group practices 3
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.
-
- Foot Surgery Podiatrist
- Peabody, MA
- NPI 1457543639
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1366482093
-
- Podiatrist
- Lynn, MA
- NPI 1164551875
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1124133657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DESMOND AVE",
"address_2": "APARTMENT E",
"city": "MANCHESTER",
"state": "MA",
"postal_code": "019441355",
"telephone_number": "774-239-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ESSEX CENTER DR",
"address_2": "SUITE 208 - PEABODY PODIATRY",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602904",
"telephone_number": "978-531-9969",
"fax_number": "978-531-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0708143",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.