Organization Active NPI

Kevin F Brown DO PC

  • Physical Medicine & Rehabilitation Physician
  • Wichita, KS
National Provider Identifier
1790994333
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A-1315-05 Issued in NM
Legal business name
KEVIN F BROWN DO PC
Practice address
8338 W 13TH St N
Wichita, KS 67212-2900
Phone
(316) 729-9999
Fax
(575) 647-8381
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Tracy Geiger
Title
Credentialing
Phone
(575) 647-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A-1315-05 NM Primary

Addresses

Primary practice location

8338 W 13TH St N
Wichita, KS 67212-2900

Mailing address

PO Box 1560
Las Cruces, NM 88004-1560
Phone (575) 647-8366

Other identifiers 1

IdentifierTypeStateIssuer
99657554MedicaidNM

National Provider Directory

National Provider Directory

Locations

850 N Motel Blvd
Ste A
Las Cruces, NM 88007

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1790994333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "575-647-8366",
            "fax_number": "575-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122900",
            "telephone_number": "316-729-9999",
            "fax_number": "575-647-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN F BROWN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "GEIGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "575-647-8366"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "A-1315-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99657554",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.