Brian E Brown, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011819A Issued in IN

Practice address

5021 Kentucky Ave
Ste G
Indianapolis, IN 46221-3625

Phone

(317) 455-1425

Fax

(317) 455-1428

NPI assigned

Jun 6, 2012

Last updated

Jun 6, 2012By 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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Decatur Family Dentistry LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1376037853
  NPD (past)
• Decatur Family Dentistry LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1861775587
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1861753758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 KENTUCKY AVE",
            "address_2": "STE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213625",
            "telephone_number": "317-455-1425",
            "fax_number": "317-455-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 KENTUCKY AVE",
            "address_2": "STE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213625",
            "telephone_number": "317-455-1425",
            "fax_number": "317-455-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayana Brown
• Barton S. Brown, MD
• Benjamin Joseph Brown, MD
• Brandie Brown, LPN
• Brandon P Brown, MD
• Brittany Ann Brown
• Brookelyn Elizabeth Brown, MS, CCC-SLP
• Candace Brown
• Carson Douglas Brown
• Cassidy Jean Brown, RBT

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.