Kenneth A Brown, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

13736 Issued in SC

Practice address

1231 Ribaut Rd
Beaufort, SC 29902-6147

Phone

(843) 525-6622

Fax

(843) 522-8243

NPI assigned

May 31, 2005

Last updated

Jul 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.33 of 100Reported as group

Quality

86.06

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.brown.p1@direct.entap.nextgenshare.com
• Direct secure messaging: kenneth.brown@1406.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charleston ENT Associates, LLC

  • Otolaryngology Physician
  • Charleston, SC
  • NPI 1588607303
  Medicare reassignment NPD
• Beaufort ENT & Allergy LLC

  • Specialist
  • Beaufort, SC
  • NPI 1265654511
  NPD (past) Authorized official
• Charleston ENT Associates, LLC

  dba Surgery Center of Charleston

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
  • NPI 1124026422
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1699778076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HENRY TECKLENBERG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-766-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026147",
            "telephone_number": "843-525-6622",
            "fax_number": "843-522-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "13736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BFTENT NPI",
            "identifier": "1265654511",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PIN",
            "identifier": "7215359",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA KENNETH A BROWN PIN",
            "identifier": "4625215",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3955",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5955",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN#",
            "identifier": "P00135885",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb William Brown, B.A., CACP
• Holly A Brown, LMFT
• Jasmine Brown, CNA
• Jeffrey Alan Brown, MD
• Katherine Alberta Brown, LCSW
• Michael Alexander Brown
• Shelly Jenine Brown
• Shemikia Brown
• Carl William Brune, MD
• Christina Lynn Bullard

• Otolaryngology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.

Verify at the official NPI Registry.