| Dr Derik J Brown, DPM | |
|
1016 W Pierce St, Carlsbad, NM 88220-4013 | |
| (575) 885-3445 | |
| (575) 887-0163 |
| Full Name | Dr Derik J Brown |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1016 W Pierce St, Carlsbad, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285637041 | NPI | - | NPPES |
| NM005A29 | Other | NM | BCBS |
| 26753324 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00299 (Kentucky) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 312 (New Mexico) | Primary |
| Provider Name | Southeast New Mexico Podiatry Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235226614 PECOS PAC ID: 2668551425 Enrollment ID: O20080505000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derik J Brown, DPM 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 | Dr Derik J Brown, DPM 1016 W Pierce St, Carlsbad, NM 88220-4013 Ph: (575) 885-3445 |
Dr. Leon Cohen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Southeast New Mexico Podiatry Associates Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Mr. Joshua Dean Adams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 | |
Dr. Lyle Rey Folsom, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-885-3445 Fax: 575-887-0163 |