Organization Active NPI

Brown's Enterprises

Doing business as New Balance-St. Louis

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1487838306
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
013370 Issued in MO
Legal business name
BROWN'S ENTERPRISES
Doing business as
New Balance-St. Louis
Practice address
6678 Clayton Rd
Saint Louis, MO 63117-1602
Phone
(314) 646-1574
Fax
(314) 646-1578
NPI assigned
Dec 27, 2007
Organization subpart
Yes
Parent organization
BROWN'S ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Beth Ann Eilers, CPED
Title
Manager
Phone
(314) 646-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 013370 MO Primary

Addresses

Primary practice location

6678 Clayton Rd
Saint Louis, MO 63117-1602

Mailing address

6678 Clayton Rd
Saint Louis, MO 63117-1602
Phone (314) 646-1574

Other names 1

  • New Balance-St. Louis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Browns Family Shoe Stor5 organizations share this tax ID, including this one
Part of
Browns Family Shoe Stor

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6678 Clayton Rd
Saint Louis, MO 63117
Phone (314) 646-1574

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1487838306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "314-646-1574",
            "fax_number": "314-646-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "314-646-1574",
            "fax_number": "314-646-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWN'S ENTERPRISES",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "EILERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-646-1574",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "013370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Balance-St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.