IndividualActive
Shawn Brown, CPO
NPI 1184156101 · Prosthetic/Orthotic Supplier · Fort Wayne, IN
Provider details
- NPI number
- 1184156101
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909
Phone: (260) 312-1746
Approximate (ZIP-level) locationGet directions
Mailing address
2410 N Glendale Dr Ste C
Fort Wayne, IN 46804-8909
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.