Thomas Larry Brown Sr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

230429 Issued in NY

Practice address

200 Northcliff Dr
Gulf Breeze, FL 32561-4440

Phone

(850) 932-9404

Fax

(850) 932-5707

NPI assigned

Feb 6, 2006

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Radiology Partners of Florida LLCGroup PAC ID 8224554027, 17 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Comanche County Hospital Authority Southwest RadiologyGroup PAC ID 7113082009, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• Memorial Health Hospital, Lawton, OK, CCN 370056
• Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
• Lakeside Medical Center Hospital, Belle Glade, FL, CCN 100130
• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Centers of America LLP

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1730125261
  Medicare reassignment Care Compare group NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Tampa

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818
  Medicare reassignment Care Compare group NPD
• Universal Radiology Partners of Florida LLC

  • Diagnostic Radiology Physician
  • Wellington, FL
  • NPI 1225836703
  Medicare reassignment Care Compare group NPD
• Comanche County Hospital Authority Southwest Radiology

  • Diagnostic Radiology Physician
  • Lawton, OK
  • NPI 1194996447

  FL

  Medicare reassignment Care Compare group NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  FL

  Medicare reassignment Care Compare group NPD
• Rose Radiology Centers, LLC

  dba Akumin

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment NPD
• House Call Medical Services of New York, PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1851345946
  Medicare reassignment NPD
• Howard John Simon MD PC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1932768934

  FL

  Medicare reassignment NPD
• Yadkin River Radiology PA

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1710908041

  FL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• District Hospital Holdings Inc

  dba Lakeside Medical Center

  • Rural Acute Care Hospital
  • Belle Glade, FL
  • NPI 1801885413
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  dba Comanche County Memorial Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  Care Compare affiliation

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": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Prather Brooks, PH.D.
• Graceylynn Broscious, BSN
• Alexa Ann Brososky
• Alexander Brown
• Rachel Williams Brown, M.D.
• Amy Bruce
• Shelby Burke, AUD
• Ta'Chara Burnside
• Christopher Burpo, PT
• Jean Butler

• Diagnostic Radiology Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Diagnostic Radiology Physician in Florida

• 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.

Verify at the official NPI Registry.