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Contact Information

DERIK J BROWN, DPM
1016 W PIERCE ST
CARLSBAD, NM88220-4013
 Phone: 575-885-3445
 Fax: 575-887-0163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DERIK J BROWN · (Male)

NPI Number 1285637041
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/24/2005
Last updated 11/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 00299
  • NM License # 312
  • NM Medicaid 26753324
  • NM Other NM005A29 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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