David R Brown, MD Ear, Nose & Throat PC

Key facts

NPI: 1235600560
Entity type: Organization (NPI type 2)
Primary specialty: Otolaryngology Physician 207Y00000X
Legal business name: DAVID R BROWN, MD EAR, NOSE & THROAT PC
Practice address: 435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671
Phone: (505) 820-9945
Fax: (505) 393-1166
NPI assigned: Dec 16, 2018
Organization subpart: No

Authorized official

Name: David Richard Brown, MD NPI 1033260633
Title: President
Phone: (505) 820-9945

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

David Richard Brown, MD Otolaryngology Physician · Santa Fe, NM · NPI 1033260633

Medicare reassignment Care Compare group NPD Authorized official NM · OTOLARYNGOLOGY
Nizhoni W Denipah, M.D. Otolaryngology Physician · Toledo, OH · NPI 1003250069

Medicare reassignment Care Compare group NM
Kaya Florina Peterson, AUD Audiologist · Santa Fe, NM · NPI 1932608114

Medicare reassignment NM

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20190325000364	NM	Part B Supplier - Clinic/Group Practice	5294075586	Receives reassigned benefits from 3 practitioners Practice locations: Santa Fe, NM

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Y00000X			Yes

Addresses

Primary practice location

435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671

Mailing address

435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671
Phone (505) 820-9945

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2021.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1235600560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE B104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057671",
            "telephone_number": "505-820-9945",
            "fax_number": "844-218-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE B104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057671",
            "telephone_number": "505-820-9945",
            "fax_number": "505-393-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BROWN, MD EAR, NOSE & THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-820-9945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Otolaryngology Physician in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.