David B Brown, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Bridgeport, CT
NPI 1992734545 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1992734545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 022562 (CT)
- Practice address
- 4747 Main St
Bridgeport, CT 06606-1804 - Phone
- (203) 372-0649
- Fax
- (203) 373-0376
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Saint Louis University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthocare Specialists ,LLC
Practice addresses (Care Compare)
4747 Main St
Bridgeport, CT 06606-1804
Phone (203) 372-0649
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823000973 | CT | Practitioner - Orthopedic Surgery | 6002847761 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022562 | CT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South-West Community Health Center, Inc | Current |
Accepting new patients | |
| Fairfield Sports and Spine LLC | Past |
Accepting new patients | |
| Surgical Center of Connecticut LLC | Past |
Accepting new patients |
Locations
968 Fairfield Ave
Bridgeport, CT 06605
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
Interoperability endpoints
- dbrown5566@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 022562 | CT | Yes |
Addresses
Primary practice location
4747 Main St
Bridgeport, CT 06606-1804
Mailing address
4747 Main St
Bridgeport, CT 06606-1804
Phone (203) 372-0649
Other providers in Bridgeport, CT
- Ariane Brown
- Chelsy Brown
- Cynthia M Brown
- Daisette C Brown
- David Brown
- Deborah Brown
- Fiona Brown
- Latasha Ali Brown
- Rashawna D Brown
- Robert Ben Brown
All providers in Bridgeport, CT · Orthopaedic Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.