Active NPI
Christopher Brown, MD
- Family Medicine Physician
- Pleasanton, TX
National Provider Identifier
1013284496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q0419
- Practice address
- 310 W Oaklawn Rd
Pleasanton, TX 78064-4033 - Phone
- (830) 569-2527
- NPI assigned
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q0419 | TX | Primary |
Addresses
Primary practice location
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Mailing address
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367919YLPS | Other | TX | WELLMED PTAN |
| 349285202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141009001614 | TX | Practitioner - Family Practice | 4880814003 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Physicians, PLLC | Current | Accepting new patients | |
| Twin Fountains Urgent Care Center | Past | Accepting new patients |
Locations
377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/WELLMED
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.
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1598078453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1013284496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W OAKLAWN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-8940",
"fax_number": "830-569-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W OAKLAWN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-29",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q0419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED PTAN",
"identifier": "367919YLPS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349285202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.