Individual provider Active NPI

M David Brown, M.D.

  • Child & Adolescent Psychiatry Physician
  • Overland Park, KS
National Provider Identifier
1225067655
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0423512 Issued in KS
Practice address
8300 College Blvd Ste 320
Overland Park, KS 66210-2814
Phone
(913) 338-0400
Fax
(913) 338-0428
NPI assigned
Jun 30, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 101973 MO
Child & Adolescent Psychiatry Physician 2084P0804X 0423512 KS Primary

Addresses

Primary practice location

8300 College Blvd Ste 320
Overland Park, KS 66210-2814

Mailing address

8300 College Blvd Ste 320
Overland Park, KS 66210-2814
Phone (913) 338-0400

Other identifiers 2

IdentifierTypeStateIssuer
567207OtherKSBC&BS OF KS
17160013OtherMOBC&BS OF KC

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0423512KSMDChild & Adolescent Psychiatry Physician
101973MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Psychiatric Group Child & Adolescent Psychiatry Past Accepting new patients
JM Counseling Service LLC Past Accepting new patients

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1225067655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD STE 320",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102814",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD STE 320",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102814",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "M",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "101973",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KS",
            "license": "0423512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF KS",
            "identifier": "567207",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF KC",
            "identifier": "17160013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.