Active NPI
Willie Lee Brown, D.P.M.
- Foot Surgery Podiatrist
- Belleville, IL
National Provider Identifier
1447392972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 016.004243
- Practice address
- 3700 N Belt W
Belleville, IL 62226-5629 - Phone
- (618) 236-2207
- Fax
- (618) 236-2377
- NPI assigned
- Feb 12, 2007
- Last updated
- Jun 29, 2022
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 2004030548 | MO | |
| Foot Surgery Podiatrist | 213ES0131X | 016.004243 | IL | Primary |
Addresses
Primary practice location
3700 N Belt W
Belleville, IL 62226-5629
Mailing address
PO Box 2682
East Saint Louis, IL 62202-2682
Phone (618) 236-2207
Other practice location 1
2917 Lafayette Ave
Saint Louis, MO 63104-1409
Phone (618) 236-2207
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004030548 | Other | MO | MISSOURI LICENSE NO. |
| 0060101305 | Other | IL | BCBS OF ILLINOIS |
| 016.004243 | Other | IL | ILLINOIS LICENSE NO. |
| 016004243 | Medicaid | IL | |
| 303052401 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100421000757 | IL | Practitioner - Podiatry | 9739216839 | Practice locations: Belleville, IL |
| I20100722000205 | MO | Practitioner - Podiatry | 9739216839 | Practice locations: Florissant, MO; Bridgeton, MO; Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2917 Lafayette Ave
St. Louis, MO 63104-1409
3700 N Belt W
Belleville, IL 62226-5629
Phone (618) 236-2207
3933 S Broadway
South City Hospital
Saint Louis, MO 63118-4601
Phone (314) 865-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 125 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1562 |
| Removal or shaving of skin growth | 739 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.004243 | IL | MD | Foot Surgery Podiatrist |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Saint Anthony's Health Center
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1447392972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2682",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622022682",
"telephone_number": "618-236-2207",
"fax_number": "618-236-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N BELT W",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265629",
"telephone_number": "618-236-2207",
"fax_number": "618-236-2377"
}
],
"practiceLocations": [
{
"address_1": "2917 Lafayette Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041409",
"country_code": "US",
"telephone_number": "618-236-2207",
"fax_number": "618-236-2377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "WILLIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MO",
"license": "2004030548",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016.004243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICENSE NO.",
"identifier": "2004030548",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "0060101305",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE NO.",
"identifier": "016.004243",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004243",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303052401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.