Brian G Brown

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN0000108574 Issued in TN

Practice address

384D Carriage House Drive
Jackson, TN 38305-2268

Phone

(731) 256-2006

Fax

(731) 256-2007

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Memphis Psychiatric and Addiction Clinic, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
  • NPI 1235187949
  NPD (past)
• Psycare LLC

  • Psychologist
  • Memphis, TN
  • NPI 1851870778
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1023098167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384D CARRIAGE HOUSE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-256-2006",
            "fax_number": "731-256-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384D CARRIAGE HOUSE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-256-2006",
            "fax_number": "731-256-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIAN",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "RN0000108574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SYMED",
            "identifier": "3901457",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901452",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901456",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Barrett Brooks, PHARM D
• Sharon Brooks, CASE MANAGER
• Heath Broussard, MD
• Ashley Ann Brown, PA-C
• Ashley Elaine Brown, RN
• Dominique J Brown, MS, LAT, ATC
• Janice V Brown
• Justin A Brown, D.C.
• Katherine Clune Brown, CRNA
• Lakeshia Nicole Brown, NP

• Adult Psychiatric/Mental Health Registered Nurse in Jackson, TN
• Providers in Jackson, TN by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.