Individual provider Active NPI

Kevin H. Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Round Rock, TX
National Provider Identifier
1003947870
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M5649 Issued in TX
Practice address
1490 Rusk Rd.
Ste 202
Round Rock, TX 78665-3306
Phone
(512) 255-7762
Fax
(512) 255-7761
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M5649 TX Primary

Addresses

Primary practice location

1490 Rusk Rd.
Ste 202
Round Rock, TX 78665-3306

Mailing address

1490 Rusk Rd.
Ste 202
Round Rock, TX 78665-3306
Phone (512) 255-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep G. Mistry, MD, PA Past Accepting new patients
Round Rock OBGYN PA Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kevin.brown.1@11541.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11541/brand/42/csg/541/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1003947870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 RUSK RD.",
            "address_2": "STE 202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653306",
            "telephone_number": "512-255-7762",
            "fax_number": "512-255-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 RUSK RD.",
            "address_2": "STE 202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653306",
            "telephone_number": "512-255-7762",
            "fax_number": "512-255-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEVIN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.