Individual provider Active NPI

Theresa Iola Brown, DPM

  • Foot Surgery Podiatrist
  • Montgomery, AL
National Provider Identifier
1750409231
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
134 Issued in AL
Practice address
201 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 271-3333
Fax
(334) 271-3768
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 134 AL Primary

Addresses

Primary practice location

201 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

201 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 271-3333

Other identifiers 1

IdentifierTypeStateIssuer
08630OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050816000918 AL Practitioner - Podiatry 6901881713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 271-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue242
Removal or shaving of skin growth233
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134ALMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Essie M B Smith Foot Clinic Foot Surgery CurrentSince Jun 1, 2009 Accepting new patients
Advanced Foot Care PC PastSince Jun 6, 1994 Accepting new patients
Diabetic Foot Care Specialist of Georgia PastSince Jan 1, 1990 Accepting new patients

Locations

348 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 271-3333

201 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 271-3333

3966 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 271-4465

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23191/brand/1/csg/1/fhir/r4
  • Direct secure messaging: theresa.brown@direct.baptistfirst.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1750409231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-271-3333",
            "fax_number": "334-271-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-271-3333",
            "fax_number": "334-271-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THERESA",
        "middle_name": "IOLA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "08630",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.