Individual provider Active NPI

Samuel Luke Brown, DO

  • Emergency Medicine Physician
  • Laconia, NH
National Provider Identifier
1346508108
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T0774 Issued in NH
Practice address
80 Highland Street
Laconia, NH 03246-3235
Phone
(603) 527-2819
Fax
(603) 527-2984
NPI assigned
Apr 30, 2012
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T0774 NH Primary

Addresses

Primary practice location

80 Highland Street
Laconia, NH 03246-3235

Mailing address

PO Box 678
Laconia, NH 03247-1327
Phone (603) 524-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150817001555 NH Practitioner - Emergency Medicine 4587979729 Reassigns benefits to 3 organizations
I20211104000844 VT Practitioner - Emergency Medicine 4587979729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T0774NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince May 23, 2016 Accepting new patients
Springfield Hospital Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Concord Hospital-Laconia Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Rutland Hospital, Inc Emergency Medicine CurrentSince Nov 11, 2021 Accepting new patients
Mid Vermont Pathology PC Current Accepting new patients
Rutland Hospital, Inc. CurrentSince Nov 11, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic Emergency Medicine CurrentSince May 23, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince May 23, 2016 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Lrghealthcare CurrentSince Apr 1, 2017 Accepting new patients
Springfield Hospital .Inc CurrentSince Apr 1, 2025 Accepting new patients
Rutland Hospital, Inc. Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

160 Allen St
Rutland, VT 05701

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1346508108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHLAND STREET",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463235",
            "telephone_number": "603-527-2819",
            "fax_number": "603-527-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMUEL",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "T0774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.