Individual provider Active NPI

William R Brown, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1740273341
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
244109 Issued in KY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200401-900AMedicaidIN
8000232200MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214001026 KY Practitioner - Podiatry 6406961879 Reassigns benefits to 1 organization

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
Louisville Podiatry PSCGroup PAC ID 0648437616, 3 clinicians

Practice addresses (Care Compare)

2525 Bardstown Rd
Suite 110
Louisville, KY 40205-2699
Phone (502) 458-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Podiatry PSC Foot & Ankle Surgery CurrentSince Jan 24, 2026 Accepting new patients
Podiatric Physicians of Louisville PSC PastSince Aug 20, 2016 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.

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

Verify at the official NPI Registry.