Individual provider Active NPI

Phillip William Brown, D.P.M

  • Podiatrist
  • Bethel Park, PA
National Provider Identifier
1386058147
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006802 Issued in PA
Practice address
5841 Library Rd
Bethel Park, PA 15102-3333
Phone
(412) 831-1515
Fax
(412) 831-2115
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X SC006802 PA Primary

Addresses

Primary practice location

5841 Library Rd
Bethel Park, PA 15102-3333

Mailing address

923 Tanglewood Dr
Bethel Park, PA 15102-2274
Phone (412) 508-0917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170731001429 PA Practitioner - Podiatry 6002114451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy of Podiatry, IncGroup PAC ID 9830160530, 5 clinicians

Practice addresses (Care Compare)

5841 Library Rd
Bethel Park, PA 15102-3333
Phone (412) 831-1515

Merit-based Incentive Payment System (MIPS)

Final score
19.9 of 100Reported as individual
Quality
31.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions60
Removal of nail tissue1663
Removal or shaving of skin growth1564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Academy of Podiatry, Inc Podiatrist CurrentSince Aug 1, 2017 Accepting new patients
Academy of Podiatry Podiatrist CurrentSince Aug 1, 2017 Accepting new patients

Locations

5841 Library Rd
Bethel Park, PA 15102
Phone (412) 831-1515

100 9th St
McKeesport, PA 15132
Phone (412) 422-6800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1386058147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 TANGLEWOOD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022274",
            "telephone_number": "412-508-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023333",
            "telephone_number": "412-831-1515",
            "fax_number": "412-831-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PHILLIP",
        "middle_name": "WILLIAM",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.