Individual provider Active NPI

Kathryn Louise Brown, D.O.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1720036098
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2816 Issued in AZ
Practice address
325 E Baseline Rd
Phoenix, AZ 85042-6510
Phone
(602) 824-4200
Fax
(602) 824-4215
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2816 AZ Primary

Addresses

Primary practice location

325 E Baseline Rd
Phoenix, AZ 85042-6510

Mailing address

325 E Baseline Rd
Phoenix, AZ 85042-6510
Phone (602) 824-4200

Other identifiers 2

IdentifierTypeStateIssuer
146317MedicaidAZ
AZ0852180OtherBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250523001232 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456372929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2816AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalists of Arizona, LLC Pediatrics Past Accepting new patients
Pleasant Pediatrics Pediatrics PastSince Dec 6, 2022 Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics PastSince Apr 1, 2021 Accepting new patients
Best Medical/Urgent Care LLC Pediatrics PastSince Dec 12, 2005 Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1720036098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426510",
            "telephone_number": "602-824-4200",
            "fax_number": "602-824-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426510",
            "telephone_number": "602-824-4200",
            "fax_number": "602-824-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146317",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ0852180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.