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DANIEL R BROWN
NPI 1104096684
Podiatrist in Herrin, IL

Active since March 11, 2008
101 N 16TH ST, HERRIN, IL 62948(618) 988-6034(618) 988-6479 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel R Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL R BROWN (NPI 1104096684) is a healthcare organization registered as a podiatrist in Herrin, Illinois and active in the NPI registry since March 2008. The organization lists Daniel R Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1104096684
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDANIEL R BROWN
Location Address101 N 16TH STHerrin, IL 62948-1750
Mailing Address101 N 16th St, P.o. Box 2025Herrin, IL 62948-1750 · (618) 988-6034 · Fax (618) 988-6479
Phone(618) 988-6034
Fax(618) 988-6479
Organization SubpartNo
Authorized OfficialDaniel R BrownOwner · (618) 988-6034
Enumeration DateMarch 11, 2008
Last NPPES UpdateAugust 18, 2008
✔ NPI 1104096684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016.004890
Definition
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.
101 N 16TH ST, Herrin, IL 62948
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Other Identifiers 3

Medicaid016004890IL
Medicare PIN200547IL
Medicare NSC4497790001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Southern Illinois Podiatry carries, from the Medicare DMEPOS supplier directory.

Southern Illinois Podiatry

DMEPOS supplier · Herrin, ILOperated by Daniel R Brown
⋮

Does not accept Medicare assignment

Southern Illinois Podiatry has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20605979
Medicare Participant SinceMarch 20, 2002
Supplier Location101 N 16th StHerrin, IL 62948
Phone(618) 988-6034
Provider TypePhysician – Podiatry
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY R REETER D.P.M.
Podiatrist
101 N 16TH ST
HERRIN, IL 62948
Williamson County (618) 988-6034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel R Brown's NPI number?

The NPI number for Daniel R Brown is 1104096684. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Daniel R Brown located?

Daniel R Brown is located at 101 N 16th St, Herrin, IL 62948. The listed phone number is (618) 988-6034.

What is Daniel R Brown's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Daniel R Brown accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Southern Illinois Podiatry does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Daniel R Brown was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.