Organization Active NPI

Stephen E. Brown, M.D., Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Long Beach, CA
National Provider Identifier
1033475199
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
G28692 Issued in CA
Legal business name
STEPHEN E. BROWN, M.D., INC
Practice address
4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008
Phone
(562) 422-1110
Fax
(562) 422-1160
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Stephen Edward Brown, M.D.NPI 1588698161
Title
Director
Phone
(562) 422-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X G28692 CA Primary

Addresses

Primary practice location

4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008

Mailing address

4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008
Phone (562) 422-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000330 CA Part B Supplier - Clinic/Group Practice 5698936755 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

4300 Long Beach Blvd
Ste 405
Long Beach, CA 90807
Phone (562) 422-1110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1033475199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-422-1110",
            "fax_number": "562-422-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-422-1110",
            "fax_number": "562-422-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. BROWN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-422-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G28692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.