Organization Active NPI

Elizabeth a Brown MD PC

Doing business as Elizabeth a Brown MD

  • Ophthalmology Physician
  • West Des Moines, IA
National Provider Identifier
1639324031
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29420 Issued in IA
Legal business name
ELIZABETH A BROWN MD PC
Doing business as
Elizabeth a Brown MD
Practice address
2101 Westown Pkwy
West Des Moines, IA 50265-1542
Phone
(515) 225-2566
Fax
(515) 225-2425
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Traci Crady
Title
Office Manager
Phone
(515) 225-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 29420 IA Primary

Addresses

Primary practice location

2101 Westown Pkwy
West Des Moines, IA 50265-1542

Mailing address

2101 Westown Pkwy
West Des Moines, IA 50265-1542
Phone (515) 225-2566

Other names 1

  • ELIZABETH A BROWN MD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebrown@physicianseye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000108 IA Part B Supplier - Clinic/Group Practice 4284797432 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1639324031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651542",
            "telephone_number": "515-225-2566",
            "fax_number": "515-225-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651542",
            "telephone_number": "515-225-2566",
            "fax_number": "515-225-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A BROWN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CRADY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-225-2566"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "29420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebrown@physicianseye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2101 Westown Pkwy",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502651542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ELIZABETH A BROWN MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELIZABETH A BROWN MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.