Kent T Brown OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

450 Issued in MT

Legal business name

KENT T BROWN OD, PC

Practice address

621 East 4TH Ave North
Columbus, MT 59019-7198

Phone

(406) 322-5959

NPI assigned

Mar 6, 2007

Organization subpart

Yes

Parent organization

KENT T BROWN OD, PCAs reported in NPPES

Name

Dr. Kent Theodore Brown, O.D.

Title

President

Phone

(406) 322-5959

Part of

Kent T Brown OD PC

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2013.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1245360866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 779",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590190779",
            "telephone_number": "406-322-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 EAST 4TH AVE NORTH",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590197198",
            "telephone_number": "406-322-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT T BROWN OD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENT T BROWN OD, PC",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-322-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "0180100002",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245360866",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Columbus, MT
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.