Active NPI
Craig Barrett Brown, DO
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1043417488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R1037
- Practice address
- 1501 N Campbell Ave
Tucson, AZ 85724-0001 - Phone
- (520) 626-6887
- Fax
- (520) 626-5183
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R1037 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 005801 | AZ |
Addresses
Primary practice location
1501 N Campbell Ave
Tucson, AZ 85724-0001
Mailing address
4017 N Flaming Sky PL
Tucson, AZ 85750-6198
Phone (480) 822-8041
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143847 | Other | AOA MEMBERSHIP ID | |
| D03034321 | Other | AZ | IDENTIFCATION CARD |
| 5202011146 | Other | AZ | STATE OF AZ DEPT. OF PUBLIC SAFETY LEVEL 1 FINGERPRINT CLEARANCE CARD |
| 00375050528 | Other | AZ | AMA-MEMBERSHIP |
| 740539 | Other | NBOME | |
| 005801 | Other | AZ | ARIZONA MEDICAL LICENSE |
| 4254 | Other | AZ | ABOIM CERTIFICATE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1037 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043417488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4017 N FLAMING SKY PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506198",
"telephone_number": "480-822-8041",
"fax_number": "520-505-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-626-6887",
"fax_number": "520-626-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CRAIG",
"middle_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R1037",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "005801",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AOA MEMBERSHIP ID",
"identifier": "143847",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDENTIFCATION CARD",
"identifier": "D03034321",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF AZ DEPT. OF PUBLIC SAFETY LEVEL 1 FINGERPRINT CLEARANCE CARD",
"identifier": "5202011146",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMA-MEMBERSHIP",
"identifier": "00375050528",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBOME",
"identifier": "740539",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL LICENSE",
"identifier": "005801",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABOIM CERTIFICATE NUMBER",
"identifier": "4254",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.