Individual provider Active NPI

Michael Baker Brown, DPM

  • Podiatrist
  • Clarksboro, NJ
National Provider Identifier
1922629674
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00299300 Issued in NJ
Practice address
119 Berkley Rd Ste a
Clarksboro, NJ 08020-1161
Phone
(856) 599-0133
Fax
(833) 234-1751
NPI assigned
May 5, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00299300 NJ Primary

Addresses

Primary practice location

119 Berkley Rd Ste a
Clarksboro, NJ 08020-1161

Mailing address

119 Berkley Rd Ste a
Clarksboro, NJ 08020-1161
Phone (856) 599-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230818001944 NJ Practitioner - Podiatry 1456713676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Care Center LLCGroup PAC ID 4981030830, 2 clinicians

Practice addresses (Care Compare)

119 Berkley Rd
Suite a
Clarksboro, NJ 08020-1161
Phone (856) 599-0133

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue225
Removal or shaving of skin growth104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Care Center LLC Podiatrist CurrentSince Sep 5, 2023 Accepting new patients

Locations

119 Berkley Rd
Ste A
Clarksboro, NJ 08020
Phone (856) 599-0133

Organizations & group practices 1

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 4

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1922629674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BERKLEY RD STE A",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201161",
            "telephone_number": "856-599-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BERKLEY RD STE A",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201161",
            "telephone_number": "856-599-0133",
            "fax_number": "833-234-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00299300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksboro, NJ

Sources for this page

Verify at the official NPI Registry.