ETHAN DAVID BROWN
NPI 1871348193
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since April 19, 2024PECOS Enrolled
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 575-1644 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan David Brown NPPES

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

ETHAN DAVID BROWN (NPI 1871348193) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871348193
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN DAVID BROWN
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address25857 480th AveBrandon, SD 57005-6810 · (605) 595-7734
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
NPI 1871348193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1115 E 20TH ST, Sioux Falls, SD 57105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan David Brown 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.

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105

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 Ethan Brown's NPI number?

The NPI number for Ethan Brown is 1871348193. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Ethan Brown located?

Ethan Brown practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 575-1644.

What is Ethan Brown's specialty?

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

Is Ethan Brown enrolled in Medicare?

Yes. Ethan Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Brown was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.