Active NPI
Brian David Horowitz, DPM
- Podiatrist
- West Memphis, AR
National Provider Identifier
1336162221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 236
- Practice address
- 401 Graham St
West Memphis, AR 72301-3117 - Phone
- (870) 735-6500
- Fax
- (870) 735-4442
- NPI assigned
- Jul 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM269 | TN | |
| Podiatrist | 213E00000X | 236 | AR | Primary |
Addresses
Primary practice location
401 Graham St
West Memphis, AR 72301-3117
Mailing address
401 Graham St
West Memphis, AR 72301-3117
Phone (870) 735-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163139717 | Medicaid | AR | |
| P00381696 | Other | AR | MEDICARE ID TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236 | AR | MD | Podiatrist |
| DPM269 | TN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Podiatry PC | Podiatrist | 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.
-
- Podiatrist
- Memphis, TN
- NPI 1386615797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1336162221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 GRAHAM ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013117",
"telephone_number": "870-735-6500",
"fax_number": "870-735-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GRAHAM ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013117",
"telephone_number": "870-735-6500",
"fax_number": "870-735-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM269",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163139717",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "P00381696",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.