Richard J Brown, DO

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

125377-1 Issued in NY

Practice address

754 Forks Rd
West Winfield, NY 13491-1712

Phone

(315) 822-6646

Fax

(315) 822-5407

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leatherstocking Healthcare LLC

  dba Countryside Care Center

  • Skilled Nursing Facility
  • Delhi, NY
  • NPI 1801959275
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1295725570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 FORKS RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134911712",
            "telephone_number": "315-822-6646",
            "fax_number": "315-822-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 FORKS RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134911712",
            "telephone_number": "315-822-6646",
            "fax_number": "315-822-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "125377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Benjamin
• Bridgewater West Winfield CSD (Central School District #1 Mount Markham CSB)
• Brianne Cardillo, DDS
• Jill Marie Catena, FNP
• Central Leatherstocking Medical, PLLC
• Theresa Crawford, RN
• Crystal M Dibble, LMSW

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in West Winfield, NY
• Providers in West Winfield, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.