Active NPI
John Hallum Brown, MD
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1043334642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D2373
- Practice address
- 9622 Webb Chapel Rd
Dallas, TX 75220 - Phone
- (214) 358-3601
- Fax
- (214) 358-3639
- NPI assigned
- Mar 19, 2007
- 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 | D2373 | TX | Primary |
Addresses
Primary practice location
9622 Webb Chapel Rd
Dallas, TX 75220
Mailing address
9622 Webb Chapel Rd
Dallas, TX 75220
Phone (214) 358-3601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092220501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100518000559 | TX | Practitioner - Family Practice | 8426007980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2373 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1043334642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9622 WEBB CHAPEL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75220",
"telephone_number": "214-358-3601",
"fax_number": "214-358-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9622 WEBB CHAPEL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75220",
"telephone_number": "214-358-3601",
"fax_number": "214-358-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOHN",
"middle_name": "HALLUM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D2373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092220501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.