Individual provider Active NPI

Douglas Keith Brown, MD

  • Family Medicine Physician
  • Girard, KS
National Provider Identifier
1891746913
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0429439 Issued in KS
Practice address
302 N Hospital Dr
Girard, KS 66743-2000
Phone
(620) 724-8291
Fax
(620) 724-6332
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0429439 KS Primary

Addresses

Primary practice location

302 N Hospital Dr
Girard, KS 66743-2000

Mailing address

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291

Other practice location 1

120 N W Hwy 400
Cherokee, KS 66724
Phone (620) 457-8100

Other identifiers 2

IdentifierTypeStateIssuer
101664OtherKSBCBS
100408400DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000471 KS Practitioner - Family Practice 2769386432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital District No 1 Crawford CountyGroup PAC ID 3476464538, shared by 11 NPIs, 22 clinicians

Practice addresses (Care Compare)

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291

Hospital & facility affiliations

  • Girard Medical Center Hospital, Girard, KS, CCN 171376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0429439KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 Crawford County CurrentSince Oct 9, 2001 Accepting new patients
Hospital District No 1 Crawford County Current Accepting new patients
Hospital District No 1 Crawford County Family Medicine CurrentSince Oct 9, 2001 Accepting new patients
Douglas Brown MD PC Family Medicine Past Accepting new patients
Brown Family Practice Clinic Family Medicine PastSince Jan 19, 2002 Accepting new patients

Locations

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

307 N Hospital Dr
Ste 5
Girard, KS 66743
Phone (620) 724-4659

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

Interoperability endpoints

  • Direct secure messaging: douglas.brown@khindirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891746913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-8291",
            "fax_number": "620-724-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N W Hwy 400",
            "address_purpose": "LOCATION",
            "city": "Cherokee",
            "state": "KS",
            "postal_code": "66724",
            "country_code": "US",
            "telephone_number": "620-457-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOUGLAS",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "101664",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100408400D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, KS

Sources for this page

Verify at the official NPI Registry.