DAVID KELLY BROWN DO
NPI 1417659129
Student in an Organized Health Care Education/Training Program in Idaho Falls, ID

Q: What is David Brown's NPI number?

The NPI number for David Brown is 1417659129. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is David Brown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for David Brown was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 20, 2023PECOS Enrolled

3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 973-2144 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About David Kelly Brown Do NPPES

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

DAVID KELLY BROWN DO (NPI 1417659129) is an individual student in an organized health care education/training program in Idaho Falls, Idaho and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417659129

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDAVID KELLY BROWNCredential: DO

Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533

Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 973-2144

Phone(208) 973-2144

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1417659129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MRO-2289 (ID)

3100 CHANNING WAY, Idaho Falls, ID 83404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Kelly Brown Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CARL SAMUEL BRAYTON DO

Student in an Organized Health Care Education/Training Program