Individual provider Active NPI

Matthew J Brown, AUD

  • Audiologist
  • Lawrence, KS
National Provider Identifier
1750519724
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
T-AUF-2017 Issued in KS
Practice address
1520 Wakarusa Dr
Suite B
Lawrence, KS 66047-1802
Phone
(785) 856-4200
Fax
(785) 856-4204
NPI assigned
Jun 29, 2009
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X T-AUF-2017 KS Primary

Addresses

Primary practice location

1520 Wakarusa Dr
Suite B
Lawrence, KS 66047-1802

Mailing address

1520 Wakarusa Dr
Suite B
Lawrence, KS 66047-1802
Phone (785) 856-4200

Other identifiers 1

IdentifierTypeStateIssuer
KA2648001OtherKSMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001419 KS Practitioner - Qualified Audiologist 0042336000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-AUF-2017KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist CurrentSince May 1, 2022 Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients
Topeka Ear, Nose, and Throat,PA Audiologist Past Accepting new patients
Topeka Ear, Nose and Throat, P.a. PastSince Jan 1, 2003 Accepting new patients

Locations

1005 W 6th St
Junction City, KS 66441
Phone (785) 223-5777

4811 Bob Billings Pkwy
Ste D
Lawrence, KS 66049
Phone (785) 856-4200

2301 10th Ave
Leavenworth, KS 66048
Phone (913) 680-1365

6700 Washington Ave S
Eden Prairie, MN 55344
Phone (952) 995-6601

Organizations & group practices 5

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1750519724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WAKARUSA DR",
            "address_2": "SUITE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471802",
            "telephone_number": "785-856-4200",
            "fax_number": "785-856-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WAKARUSA DR",
            "address_2": "SUITE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471802",
            "telephone_number": "785-856-4200",
            "fax_number": "785-856-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "T-AUF-2017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2648001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.