Active NPI
Thomas Larry Brown Sr., M.D.
- Diagnostic Radiology Physician
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 230429
- Practice address
- 200 Northcliff Dr
Gulf Breeze, FL 32561-4440 - Phone
- (850) 932-9404
- Fax
- (850) 932-5707
- NPI assigned
- Feb 6, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 00007599 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | ME23293 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 0101-021130 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 230429 | NY | Primary |
Addresses
Primary practice location
200 Northcliff Dr
Gulf Breeze, FL 32561-4440
Mailing address
200 Northcliff Dr
Gulf Breeze, FL 32561-4440
Phone (850) 932-9404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069260300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000759 | FL | Practitioner - Diagnostic Radiology | 8426030420 | Reassigns benefits to 11 organizations |
| I20150522000849 | NY | Practitioner - Diagnostic Radiology | 8426030420 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Universal Radiology Partners of Florida LLCSimonmed Imaging Florida LLCDiagnostic Centers of America, LLPEssen Medical Associates, PCSmi Imaging LLCElite Imaging LLCComanche County Hospital Authority Southwest Radiology
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601
10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710
10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100
10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900
1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153
1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115
1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977
1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730
13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448
1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935
14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580
1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226
2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736
208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700
2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870
265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440
4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010
4171 Roosevelt Blvd
Jacksonville, FL 32210-1837
Phone (904) 389-7474
5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900
6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935
6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449
745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474
775 N Alafaya TRL
Simonmed Imaging Waterford Lakes
Orlando, FL 32828-7047
Phone (321) 235-8700
7806 Lake Underhill Rd
Suite 101
Orlando, FL 32822-8232
Phone (407) 608-6800
802 Bayshore Dr
Pensacola, FL 32507-3404
Phone (480) 306-6949
Hospital & facility affiliations
- Wellington Regional Medical Center
- Memorial Health
- Jackson County Memorial Hospital Authority
- Lakeside Medical Center
- Duncan Regional Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26086 | NC | MD | Pharmacist |
| 00007599 | AL | MD | Nuclear Medicine Physician |
| 0101-021130 | VA | MD | Diagnostic Radiology Physician |
Practice roles (33 of 39)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Radiology Partners of Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| LCM Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Yadkin River Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Essen Medical Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Afo Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Sports Imaging Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Comanche County Hospital Authority Southwest Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Radcare of Tennessee PC | Diagnostic Radiology | Past | Accepting new patients |
| Argen Enterprises of Highlands Inc | Past | Accepting new patients | |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Boca Radiology Group PA | Diagnostic Radiology | Past | Accepting new patients |
| Greenwood Leflore Hospital | Past | Accepting new patients | |
| Argen Enterprises of Hendry Inc | Past | Accepting new patients | |
| Metroamerican Radiology Consultants P a | Diagnostic Radiology | Past | Accepting new patients |
| Highlands Diagnostic Imaging Center, Inc | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400
2500 S 8th Ave
Ste 103
Yuma, AZ 85364
Phone (866) 614-8555
2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227
1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144
1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400
4171 Roosevelt Blvd
Jacksonville, FL 32210
Phone (904) 359-8900
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054
1110 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 629-7474
6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
Networks
- Healthfirst Medicare Network H9678
- Freedom Health HMO Network
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Optimum HealthCare HMO Network
- Healthfirst Medicare Network H3359
Organizations & group practices 35
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.
-
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1730125261
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1376819888
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Wellington, FL
- NPI 1225836703
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Lawton, OK
- NPI 1194996447
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
Diagnostic Radiology, FL
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
NY
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1932768934
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Winston Salem, NC
- NPI 1710908041
Diagnostic Radiology, FL
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
Hospital
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1053383786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTHCLIFF DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614440",
"telephone_number": "850-932-9404",
"fax_number": "850-932-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTHCLIFF DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614440",
"telephone_number": "850-932-9404",
"fax_number": "850-932-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "THOMAS",
"middle_name": "LARRY",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "AL",
"license": "00007599",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME23293",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101-021130",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "230429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069260300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.