Timothy Clay Brown, MD
Individual provider Active NPI Diagnostic Radiology Physician · Mountain Home, AR
NPI 1013056027 · NPPES record last updated Jul 31, 2013
Key facts
- NPI
- 1013056027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- E-8024 (AR)
- Practice address
- 624 Hospital Dr
Radiology Dept.
Mountain Home, AR 72653-2955 - Phone
- (870) 425-6322
- Fax
- (870) 424-5859
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Associates of Durango PC
Practice addresses (Care Compare)
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-2200
Hospital & facility affiliations
- Mercy Regional Medical Center
- Southwest Memorial Hospital
- Animas Surgical Hospital, LLC
- Pagosa Springs Medical Center
- San Juan Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211030000060 | CO | Practitioner - Diagnostic Radiology | 1052506995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Springs Imaging, LLC | Current |
Accepting new patients | |
| Radiology Associates of Durango PC | Diagnostic Radiology | Current |
Accepting new patients |
| Wilson Interventional Clinic PA | Past | Accepting new patients | |
| Southwest Diagnostic Laboratories PC | Past | Accepting new patients |
Locations
1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666
1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | E-8024 | AR | Yes |
Addresses
Primary practice location
624 Hospital Dr
Radiology Dept.
Mountain Home, AR 72653-2955
Mailing address
PO Box 2008
Mountain Home, AR 72654-2008
Phone (870) 425-6322
Other providers in Mountain Home, AR
- Brooks Medical Supply, Inc.
- Elisabeth Brooks
- Emily Brown
- Linda Brown
- Philip W Brown
- Bruce D. Robbins, M.D.
- Bruce Wolf Physical Therapy, P.a.
- Ronald F Bruton
- Stacy Lee Bryan
- Bryant Pharmacy
All providers in Mountain Home, AR · Diagnostic Radiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.