Brown Podiatric Medical Centre PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BROWN PODIATRIC MEDICAL CENTRE PC

Practice address

405 S Macarthur Blvd
Springfield, IL 62704-1742

Phone

(217) 787-9192

NPI assigned

Sep 22, 2006

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Duane Brown, DPM

Title

President

Phone

(217) 787-9192

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1548360456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041742",
            "telephone_number": "217-787-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041742",
            "telephone_number": "217-787-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN PODIATRIC MEDICAL CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-787-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480001879",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8415027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen P Broquet, M.D.
• Brother James Court
• Jessica Brough
• Ami Broughton
• Jeffrey A. Brower, M.D.
• Jade Brown-Haley
• Alyssa M Brown, CPNP-AC
• Amber M Brown, RN
• Andrew Scott Brown, D.C.
• Bryiona Brown, LSW

• Podiatrist in Springfield, IL
• Providers in Springfield, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.