Individual provider Active NPI

Shawn Dee Brown, CPO

  • Prosthetic/Orthotic Supplier
  • Fort Wayne, IN
National Provider Identifier
1184156101
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909
Phone
(260) 312-1746
NPI assigned
Mar 29, 2017
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909

Mailing address

2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909
Phone (260) 312-1746

Other names 1

  • Mr. Shawn Dee Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit City Prosthetics & Orthotics Inc Prosthetic/Orthotic Supplier CurrentSince Aug 18, 2019 Accepting new patients
Summit City Prosthetics & Orthotics Inc Prosthetic/Orthotic Supplier Current Accepting new patients
Melmar LLC PastSince Aug 18, 2019 Accepting new patients
SRT Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier Past Accepting new patients
SRT Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier Past Accepting new patients

Locations

2410 N Glendale Dr
Ste C
Fort Wayne, IN 46804
Phone (260) 312-1746

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1184156101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N GLENDALE DR STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468048909",
            "telephone_number": "260-312-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N GLENDALE DR STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468048909",
            "telephone_number": "260-312-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAWN",
        "middle_name": "DEE",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "BROWN",
            "middle_name": "DEE",
            "prefix": "MR.",
            "credential": "CPO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.