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Shawn Dee Brown , CPO

Physician β€’ Fort Wayne, IN

Active NPI 1184156101 Individual Practitioner Male Practitioner
Practice location in NPPES

2410 N Glendale Dr Ste C
Fort Wayne, IN 468048909

Call 2603121746 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2410 N Glendale Dr Ste C

Fort Wayne, IN 468048909

Telephone 2603121746
Organization at the Same NPPES Address or Phone
Summit City Prosthetics & Orthotics Inc Facility NPI 1043866106

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-29
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 14, 2019

Registered at 2410 N GLENDALE DR STE C, FORT WAYNE, IN 468048909 (Tel: 2603121746)

πŸ“
Updated Business Mailing Address August 14, 2019

Registered at 2410 N GLENDALE DR STE C, FORT WAYNE, IN 468048909 (Tel: 2603121746)

πŸ“
Updated Business Mailing Address February 14, 2019

Registered at 13762 HAMILTON RD, ROANOKE, IN 467838771 (Tel: 2603121746)

βœ…
NPI Profile Active March 29, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2017

Registered at 4109 W JEFFERSON BLVD, FORT WAYNE, IN 468046894 (Tel: 2604328886)

πŸ“
Business Mailing Address (Initial Record) March 29, 2017

Registered at 408 E WASHINGTON ST, BUTLER, IN 467211179 (Tel: 4196333961)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2017

Recorded as SHAWN BROWN, CPO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2017

Prosthetic/Orthotic Supplier

🟒
Initial NPI Registration & Enumeration March 29, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184156101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2017
Last Update: April 29, 2026
Sole Proprietor: Yes

Mailing Address

2410 N Glendale Dr Ste C

Fort Wayne, IN 468048909

Phone: 2603121746

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.