Active NPI
David Scott Brown, M.D.
- Pediatric Orthopaedic Surgery Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- K1168
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD219517 | OR | MD | Orthopaedic Surgery Physician |
| 036176156 | IL | MD | Pediatric Orthopaedic Surgery Physician |
| K1168 | TX | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Orthopaedic Surgery | Current | 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
- davidbrown@siusm.allscriptsdirect.net
- 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.
-
dba Ouch
- Pediatric Orthopaedic Surgery Physician
- Southlake, TX
- NPI 1427429869
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Grapevine, TX
- NPI 1285868372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.