Individual provider Active NPI

Lawrence Stephen Brown, DPM

  • Podiatrist
  • Center Line, MI
National Provider Identifier
1841327178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LB001169 Issued in MI
Practice address
25511 Van Dyke Ave Ste 100
Center Line, MI 48015-1834
Phone
(586) 758-5770
Fax
(586) 758-6134
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LB001169 MI Primary

Addresses

Primary practice location

25511 Van Dyke Ave Ste 100
Center Line, MI 48015-1834

Mailing address

25511 Van Dyke Ave Ste 100
Center Line, MI 48015-1834
Phone (586) 758-5770

Other identifiers 1

IdentifierTypeStateIssuer
1582358MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101215000553 MI Practitioner - Podiatry 6709770969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25511 Van Dyke Ave
Suite 100
Center Line, MI 48015-1834
Phone (586) 758-5770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue79
Removal of skin lesions93
Removal of nail tissue488
Removal or shaving of skin growth77
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LB001169MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center Current Accepting new patients
Ryan Foot Clinic, PC Podiatrist CurrentSince Feb 6, 1991 Accepting new patients
Sterling Family Foot Care PC Past Accepting new patients

Locations

25511 Van Dyke Ave
Ste 100
Center Line, MI 48015
Phone (586) 756-7777

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
  • Direct secure messaging: lawrencebrown@mchc.allscriptsdirect.net
  • Direct secure messaging: lbrown1119084@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841327178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE STE 100",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-758-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE STE 100",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "586-758-5770",
            "fax_number": "586-758-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAWRENCE",
        "middle_name": "STEPHEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LB001169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.