Individual provider Active NPI

Daniel Edward Brown, DPM

  • Podiatrist
  • Peabody, MA
National Provider Identifier
1124133657
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2215 Issued in MA
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

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0708143MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000663 MA Practitioner - Podiatry 5496795627 Reassigns benefits to 1 organization
Practice locations: Gloucester, MA; Rockport, MA

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
Peabody Podiatry LLCGroup PAC ID 9335232735, 5 clinicians

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 - Hospital, Salem, MA, CCN 220035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions1-10
Removal of nail tissue2303
Removal or shaving of skin growth937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2215MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peabody Podiatry LLC CurrentSince Mar 3, 2013 Accepting new patients
Sanphy Podiatry Group, Inc. Podiatrist PastSince Aug 11, 1993 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

  • Direct secure messaging: brown.daniel.ppdpm@direct.partners.masshiway.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.