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BROWN PODIATRIC MEDICAL CENTRE PC NPI 1548360456


NPI Information

NPI: 1548360456
Provider Name: BROWN PODIATRIC MEDICAL CENTRE PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
405 S MACARTHUR BLVD
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 787-9192
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BROWN PODIATRIC MEDICAL CENTRE PC is a podiatrist in Springfield, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BROWN PODIATRIC MEDICAL CENTRE PC NPI is 1548360456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 S MACARTHUR BLVD
SPRINGFIELD, IL
ZIP 62704-742
Phone: (217) 787-9192

The provider's authorized official is Duane Brown .
The authorized official title is President and has the following contact phone number (217) 787-9192.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 1/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10947160002MEDICARE NSCILLINOIS
2240020MEDICARE PINILLINOIS
3=========OTHERILLINOISEIN
4271180MEDICARE PINILLINOIS
58415027OTHERILLINOISBLUE CROSS BLUE SHIELD
6205038MEDICARE PINILLINOIS
7480001879OTHERILLINOISRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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