Gregory M Brown DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004793 Issued in IL

Legal business name

GREGORY M BROWN DPM PC

Practice address

4550 W Iris LN
Monee, IL 60449-4401

Phone

(708) 655-9564

Fax

(708) 534-3214

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Maurice Brown, D.P.M.

Title

Podiatrist

Phone

(708) 655-9564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1740534098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W IRIS LN",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604494401",
            "telephone_number": "708-655-9564",
            "fax_number": "708-534-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W IRIS LN",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604494401",
            "telephone_number": "708-655-9564",
            "fax_number": "708-534-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M BROWN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "708-655-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Monee, IL
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• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.