Individual provider Active NPI

David Scott Brown, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Southlake, TX
National Provider Identifier
1962422386
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
K1168 Issued in TX
Practice address
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone
(800) 682-4220
Fax
(817) 812-2868
NPI assigned
Jul 20, 2006
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD219517 OR
Pediatric Orthopaedic Surgery Physician 207XP3100X K1168 TX Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X 036176156 IL

Addresses

Primary practice location

431 E State Highway 114 Ste 120
Southlake, TX 76092-4416

Mailing address

431 E State Highway 114 Ste 110
Southlake, TX 76092-4412
Phone (682) 651-8181

Other practice location 1

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Other practice location 2

400 N 9th St Fl 2
Springfield, IL 62702-5310
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003814 OR Practitioner - Orthopedic Surgery 9537266473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD219517ORMDOrthopaedic Surgery Physician
036176156ILMDPediatric Orthopaedic Surgery Physician
K1168TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Legacy Clinics LLC CurrentSince Mar 19, 2024 Accepting new patients
Legacy Clinics LLC Orthopaedic Surgery CurrentSince Mar 19, 2024 Accepting new patients
North Texas Sports and Orthopedic Center, PLLC Past Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

450 N Graham St
Portland, OR 97227
Phone (503) 413-4161

Interoperability endpoints

  • Direct secure messaging: davidbrown@siusm.allscriptsdirect.net
  • Direct secure messaging: dbrown183400@direct.childrens.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1962422386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924412",
            "telephone_number": "682-651-8181",
            "fax_number": "817-812-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924416",
            "telephone_number": "800-682-4220",
            "fax_number": "817-812-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 9th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025310",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD219517",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "K1168",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "IL",
            "license": "036176156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.