Derik J Brown, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

312 Issued in NM

Practice address

1016 W Pierce St
Carlsbad, NM 88220-4013

Phone

(575) 885-3445

Fax

(575) 887-0163

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast New Mexico Podiatry Associates IncGroup PAC ID 2668551425, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Southeast New Mexico Podiatry Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Carlsbad, NM
  • NPI 1235226614
  Medicare reassignment Care Compare group
• Kentucky Foot & Ankle Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
  • NPI 1114053584
  NPD (past)
• Louisville Foot and Ankle Associates, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1538378930
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Hospital Hobbs

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1285637041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204013",
            "telephone_number": "575-885-3445",
            "fax_number": "575-887-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204013",
            "telephone_number": "575-885-3445",
            "fax_number": "575-887-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DERIK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00299",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM005A29",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26753324",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Gail Bratcher, RN
• Alice Arlene Briggs, M.S,, OTRL
• Christina L Brown
• Christopher K Brown
• Connie L. Brown, LMHC
• Natasha Brumfield
• Bruna de Gouveia LLC
• Sarah Beth Bullock, RN
• Elaine Lavonne Byers, RDH
• C & S DME

• Foot & Ankle Surgery Podiatrist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.