David Brown, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2004024389 Issued in MO

Practice address

402 Scott Dr
Scott AFB, IL 62225-5325

Phone

(618) 229-4398

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1790915288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RICHVIEW DR",
            "city": "SAINT JACOB",
            "state": "IL",
            "postal_code": "622811070",
            "telephone_number": "618-667-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SCOTT DR",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255325",
            "telephone_number": "618-229-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004024389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki L Beadle, O.D
• Kelly Campbell Bean, DMD
• Margaret Ruth Bergmann, PSYD, LPC
• Angelic Berry, M.ED, M.S.
• Susannah Frances Bouchard, WHNP
• Todd Richard Broyles, D.D.S.
• Jon Elliott Dale Brubaker, MD
• Trevor Todd Brue, DO
• Darlene Ruth Brunner, WOMEN'S HEALTH NP
• Jake Douglas Brush, DDS

• Registered Nurse in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.