Active NPI
Kendall P. Brown, M.D.
- Neurodevelopmental Disabilities Physician
- Dallas, TX
National Provider Identifier
1326083643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurodevelopmental Disabilities Physician
- License
- M9885
- Practice address
- 2445 Pinebluff Dr
Dallas, TX 75228-5841 - Phone
- (254) 230-2095
- Fax
- (972) 767-4744
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M9885 | TX | |
| Geriatric Psychiatry Physician | 2084P0805X | M9885 | TX | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | M9885 | TX | Primary |
Addresses
Primary practice location
2445 Pinebluff Dr
Dallas, TX 75228-5841
Mailing address
2445 Pinebluff Dr
Dallas, TX 75228-5841
Phone (254) 230-2095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9885 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Milwaukee | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1831256353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1326083643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 PINEBLUFF DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285841",
"telephone_number": "254-230-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 PINEBLUFF DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285841",
"telephone_number": "254-230-2095",
"fax_number": "972-767-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KENDALL",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M9885",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "M9885",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "TX",
"license": "M9885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.