Active NPI
William R Brown, DPM
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
National Provider Identifier
1740273341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 244109
- Practice address
- 4642 Chamberlain LN
Suite 249
Louisville, KY 40241-2156 - Phone
- (502) 384-4024
- Fax
- (502) 384-4025
- NPI assigned
- Aug 30, 2005
- Last updated
- May 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 244109 | KY | Primary |
Addresses
Primary practice location
4642 Chamberlain LN
Suite 249
Louisville, KY 40241-2156
Mailing address
4642 Chamberlain LN
Suite 249
Louisville, KY 40241-2156
Phone (502) 384-4024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200401-900A | Medicaid | IN | |
| 8000232200 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Bardstown Rd
Suite 110
Louisville, KY 40205-2699
Phone (502) 458-8989
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Podiatry PSC | Foot & Ankle Surgery | Current | Accepting new patients |
| Podiatric Physicians of Louisville PSC | Past | Accepting new patients |
Locations
2525 Bardstown Rd
Ste 110
Louisville, KY 40205
Phone (502) 458-8989
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
- NPI 1225307309
-
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
- NPI 1689084402
-
- Podiatrist
- Louisville, KY
- NPI 1316309818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1740273341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4642 CHAMBERLAIN LN",
"address_2": "SUITE 249",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412156",
"telephone_number": "502-384-4024",
"fax_number": "502-384-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4642 CHAMBERLAIN LN",
"address_2": "SUITE 249",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412156",
"telephone_number": "502-384-4024",
"fax_number": "502-384-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "244109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200401-900A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8000232200",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.