David Kelly Brown, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Idaho Falls, Idaho. His current practice location is
3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 973-2144.
David Kelly Brown is licensed to practice in Idaho (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417659129.
Physician's Profile
Full Name | David Kelly Brown |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3100 Channing Way, Idaho Falls, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417659129
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749647774
- Enrollment ID: I20230607001799
Medical Identifiers
Medical identifiers for David Kelly Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417659129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MRO-2289 (Idaho) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kelly Brown is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Kelly Brown, DO 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 973-2144 | David Kelly Brown, DO 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 973-2144 |
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