Active NPI
Kimberly Michelle Brown, MD
- Emergency Medicine Physician
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
Hospital & facility affiliations
- Siloam Springs Regional Hospital
- Northwest Medical Center-Springdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25967 | MS | MD | Emergency Medicine Physician |
| 57804 | TN | MD | Emergency Medicine Physician |
| 68141-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Springdale- Bentonville HBP Services, LLC | Emergency Medicine | Current | Accepting new patients |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | 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.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
Emergency Medicine
-
- Emergency Medicine Physician
- Blytheville, AR
- NPI 1932442985
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, TN
-
- Emergency Medicine Physician
- Osceola, AR
- NPI 1043553860
-
- Emergency Medicine Physician
- Clarksville, AR
- NPI 1609259753
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.