Michael Osborne Brown, M.D.
Individual provider Active NPI Family Medicine Physician · Lexington, NC
NPI 1023053295 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1023053295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29728 (NC)
- Practice address
- 114 W Medical Park Dr
Lexington, NC 27292-6773 - Phone
- (336) 249-8760
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20041117000240 | NC | Practitioner - Obstetrics/Gynecology |
6103889688 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- michael.brown.p1@direct.personfamily.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29728 | NC | Yes |
Addresses
Primary practice location
114 W Medical Park Dr
Lexington, NC 27292-6773
Mailing address
114 W Medical Park Dr
Lexington, NC 27292-6773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891053L | Medicaid | NC |
Other providers in Lexington, NC
- Kaitlyn Elyse Batt Brodar
- Steven John Brodar
- Faith Ann Broder
- Brookstone Retirement Ctr.,LLC.
- Joanne Brown
- Katelyn Shelton Bruff
- Matthew David Bryant
- John Glen Buchanan
- Carol A Bullard
- Mary Alisa Bullock
All providers in Lexington, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.