Active NPI
Samuel Isaac Brown, M.D.
- Orthopaedic Surgery Physician
- Chesapeake, VA
National Provider Identifier
1386640365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101043502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006422209 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.83 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101043502 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine and Orthopaedic Center | Current | Accepting new patients | |
| Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | Current | 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
- samuel.brown.1@24174.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Chesapeake, VA
- NPI 1043246556
-
- Physical Therapist
- Chesapeake, VA
- NPI 1386303832
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.