Dr Derik J Brown, DPM | |
1016 W Pierce St, Carlsbad, NM 88220-4013 | |
(575) 885-3445 | |
(575) 887-0163 |
Full Name | Dr Derik J Brown |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1016 W Pierce St, Carlsbad, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285637041 | NPI | - | NPPES |
NM005A29 | Other | NM | BCBS |
26753324 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00299 (Kentucky) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 312 (New Mexico) | Primary |
Provider Name | Southeast New Mexico Podiatry Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235226614 PECOS PAC ID: 2668551425 Enrollment ID: O20080505000548 |
Mailing Address | Practice Location Address |
---|---|
Dr Derik J Brown, DPM 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 | Dr Derik J Brown, DPM 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 |
Dr. Leon Cohen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Southeast New Mexico Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Mr. Joshua Dean Adams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Dr. Lyle Rey Folsom, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 |