Active NPI
Robert T Brown, M.D.
- Otolaryngology Physician
- Des Moines, IA
National Provider Identifier
1750374302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 17463
- Practice address
- 3901 Ingersoll Ave
Des Moines, IA 50312-3505 - Phone
- (515) 274-9136
- Fax
- (515) 274-3107
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 17463 | IA | Primary |
Addresses
Primary practice location
3901 Ingersoll Ave
Des Moines, IA 50312-3505
Mailing address
3901 Ingersoll Ave
Des Moines, IA 50312-3505
Phone (515) 274-9136
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17463 | IA | MD | Otolaryngology Physician |
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": "1305849600000",
"number": "1750374302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123505",
"telephone_number": "515-274-9136",
"fax_number": "515-274-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123505",
"telephone_number": "515-274-9136",
"fax_number": "515-274-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROBERT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "17463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.