NPIMap

Individual provider Active NPI

Kenneth E Brown, M.D.

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1497779755
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025349 Issued in LA
Practice address
425 Scott St
Alexandria, LA 71301-8131
Phone
(318) 445-7355
Fax
(318) 487-8035
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036109963 IL
Family Medicine Physician 207Q00000X 025349 LA Primary

Addresses

Primary practice location

425 Scott St
Alexandria, LA 71301-8131

Mailing address

425 Scott St
Alexandria, LA 71301-8131
Phone (318) 445-7355

Other identifiers 2

IdentifierTypeStateIssuer
036109963MedicaidIL
1425079MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121031000342 LA Practitioner - Family Practice 4486556602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Clinic, L.L.P.Group PAC ID 7315956869, 5 clinicians

Practice addresses (Care Compare)

425 Scott St
Alexandria, LA 71301-8131
Phone (318) 445-7355

Hospital & facility affiliations

  • Amedisys Home Health Services Home health agency, Alexandria, LA, CCN 197504
  • Elara Caring Home health agency, Marksville, LA, CCN 197317
  • Lagniappe Homecare Alexandria Home health agency, Alexandria, LA, CCN 197458
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025349LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Clinic, L.L.P. Family Medicine CurrentSince Oct 22, 2012 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order Past Accepting new patients
Presence Service Corporation Family Medicine Past Accepting new patients
Cenla Family Medicine Associates, LLC Family Medicine PastSince Oct 22, 2012 Accepting new patients

Locations

425 Scott St
Alexandria, LA 71301
Phone (318) 442-5637

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

Organizations & group practices 4

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1497779755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SCOTT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018131",
            "telephone_number": "318-445-7355",
            "fax_number": "318-487-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SCOTT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018131",
            "telephone_number": "318-445-7355",
            "fax_number": "318-487-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109963",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109963",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.