Individual provider Active NPI

Daniel Kristan Brown, M.D.

  • Gastroenterology Physician
  • Little Rock, AR
National Provider Identifier
1730280165
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-4906 Issued in AR
Practice address
415 N University Ave
Little Rock, AR 72205-3108
Phone
(501) 666-0249
Fax
(501) 320-2745
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E-4906 AR Primary

Addresses

Primary practice location

415 N University Ave
Little Rock, AR 72205-3108

Mailing address

415 N University Ave
Little Rock, AR 72205-3108
Phone (501) 666-0249

Other identifiers 3

IdentifierTypeStateIssuer
5N766OtherARBCBS
P00375092OtherARRAILROAD MEDICARE1
06080015000OtherARQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070420000141 AR Practitioner - GastroenterologyPractitioner - Internal Medicine 2264537182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-7100

2215 Wildwood Ave
Suite 210
Sherwood, AR 72120-5092
Phone (501) 552-7300

415 N University Ave
Little Rock, AR 72205-3108
Phone (501) 666-0249

7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy167
Upper gastrointestinal (GI) endoscopy for acid reflux206
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Endoscopy Center of Arkansas, LLC Current Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

417 N University Ave
Little Rock, AR 72205
Phone (501) 664-0249

415 N University Ave
Little Rock, AR 72205
Phone (501) 664-6841

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Interoperability endpoints

  • Direct secure messaging: dbrown468640@direct.stlukeshealth.org
  • Direct secure messaging: daniel.brown@svmgs.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1730280165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053108",
            "telephone_number": "501-666-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053108",
            "telephone_number": "501-666-0249",
            "fax_number": "501-320-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIEL",
        "middle_name": "KRISTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N766",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE1",
            "identifier": "P00375092",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06080015000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.