Organization Active NPI

Thourya Haoues-Brown MD LLC

  • Internal Medicine Physician
  • Brookfield, CT
National Provider Identifier
1003091950
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038144 Issued in CT
Legal business name
THOURYA HAOUES-BROWN MD LLC
Practice address
246 Federal Rd
Unit C32
Brookfield, CT 06804-2647
Phone
(203) 740-9099
Fax
(203) 740-9097
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thourya Haoues-Brown, MDNPI 1114085016
Title
President/Sole Member
Phone
(230) 740-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 038144 CT Primary

Addresses

Primary practice location

246 Federal Rd
Unit C32
Brookfield, CT 06804-2647

Mailing address

246 Federal Rd
Unit C32
Brookfield, CT 06804-2647
Phone (203) 740-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000490 CT Part B Supplier - Clinic/Group Practice 5092746230 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1044522Thourya Haoues-Brown MD LLC246 Federal Road Unit C32, Brookfield, CT 06804Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

246 Federal Rd
Ste C32
Brookfield, CT 06804
Phone (203) 740-9099

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17056/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1003091950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "UNIT C32",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-740-9099",
            "fax_number": "203-740-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "UNIT C32",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-740-9099",
            "fax_number": "203-740-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOURYA HAOUES-BROWN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HAOUES-BROWN",
        "authorized_official_first_name": "THOURYA",
        "authorized_official_title_or_position": "PRESIDENT/SOLE MEMBER",
        "authorized_official_telephone_number": "230-740-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.