Individual provider Active NPI

Samuel Isaac Brown, M.D.

  • Orthopaedic Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1386640365
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101043502 Issued in VA
Practice address
501 Discovery Dr.
Chesapeake, VA 23320
Phone
(757) 547-5145
Fax
(757) 436-2480
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101043502 VA Primary

Addresses

Primary practice location

501 Discovery Dr.
Chesapeake, VA 23320

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3843
Phone (757) 547-5145

Other identifiers 1

IdentifierTypeStateIssuer
006422209MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000351 VA Practitioner - Orthopedic Surgery 0749367712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043502VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Center CurrentSince Jan 1, 1987 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Orthopaedic Surgery CurrentSince Jan 1, 1987 Accepting new patients

Locations

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone 75754751453502

Interoperability endpoints

  • Direct secure messaging: samuel.brown.1@24174.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1386640365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203843",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR.",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-5145",
            "fax_number": "757-436-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMUEL",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101043502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006422209",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.