Individual provider Active NPI

Kimberly Michelle Brown, MD

  • Emergency Medicine Physician
  • Bartlett, TN
National Provider Identifier
1154716306
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57804 Issued in TN
Practice address
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone
(901) 820-7000
NPI assigned
Apr 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 68141-20 WI
Emergency Medicine Physician 207P00000X 25967 MS
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 57804 TN Primary

Addresses

Primary practice location

2986 Kate Bond Rd
Bartlett, TN 38133-4003

Mailing address

1490 Union Ave # 403
Memphis, TN 38104-3725
Phone (414) 367-9759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200626000604 TN Practitioner - Emergency Medicine 9133440811 Reassigns benefits to 2 organizations
I20200921002917 AR Practitioner - Emergency Medicine 9133440811 Reassigns benefits to 3 organizations
I20230616002957 IL Practitioner - Emergency Medicine 9133440811

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

  • Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25967MSMDEmergency Medicine Physician
57804TNMDEmergency Medicine Physician
68141-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 12, 2020 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince Apr 10, 2025 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Organizations & group practices 8

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 2

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": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1154716306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 UNION AVE # 403",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043725",
            "telephone_number": "414-367-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-820-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-04",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "68141-20",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "25967",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "57804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.