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DANIEL R BROWN NPI 1104096684


NPI Information

NPI: 1104096684
Provider Name: DANIEL R BROWN
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
101 N 16TH ST
HERRIN, IL
ZIP 62948
Phone: (618) 988-6034
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DANIEL R BROWN is a podiatrist in Herrin, 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. DANIEL R BROWN NPI is 1104096684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 N 16TH ST
HERRIN, IL
ZIP 62948-750
Phone: (618) 988-6034
Fax: (618) 988-6479

The provider's authorized official is Daniel R Brown .
The authorized official title is Owner and has the following contact phone number (618) 988-6034.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 8/18/2008.


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
1213E00000XPodiatrist016.004890ILLINOISYes

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
1016004890MEDICAIDILLINOIS
2200547MEDICARE PINILLINOIS
34497790001MEDICARE NSCILLINOIS

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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