Individual provider Active NPI

Dustin Kevin Brown, PARAMEDIC

  • Paramedic
  • Boiling Springs, SC
National Provider Identifier
1740862234
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
SC010927 Issued in SC
Practice address
402 Fox Den CT
Boiling Springs, SC 29316-5408
Phone
(864) 237-3315
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X SC010927 SC Primary

Addresses

Primary practice location

402 Fox Den CT
Boiling Springs, SC 29316-5408

Mailing address

402 Fox Den CT
Boiling Springs, SC 29316-5408
Phone (864) 237-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC010927SCMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1740862234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 FOX DEN CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165408",
            "telephone_number": "864-237-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 FOX DEN CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165408",
            "telephone_number": "864-237-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DUSTIN",
        "middle_name": "KEVIN",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "SC010927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.