Brown'S Shoe Fit Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROWN'S SHOE FIT CO

Practice address

1702 W Burlington Ave
Fairfield, IA 52556-2617

Phone

(641) 472-2758

Fax

(641) 469-5099

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mark Thomas Nebel

Title

Manager/Owner

Phone

(641) 472-2758

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1184863391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562617",
            "telephone_number": "641-472-2758",
            "fax_number": "641-469-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562617",
            "telephone_number": "641-472-2758",
            "fax_number": "641-469-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S SHOE FIT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "NEBEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "641-472-2758"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000203558",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A. Book-Davin, ARNP
• Sarah Elizabeth Brecount, ARNP
• James Stephen Brooks, MD
• Lacey Kristine Brooks, LISW
• Sarah Elizabeth Brooks, LIC AC
• Taylor Madison Buch, ARNP
• Jim A Buck, M.D.
• Brenda Jaia Burton
• Douglas John Buttikofer, M.A.
• Kristin Nicole Carr, P.T.A.

• All providers in Fairfield, IA
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.