Individual provider Active NPI

Timothy Charles Andrew Brown, M.D.

  • Gynecology Physician
  • League City, TX
National Provider Identifier
1063432797
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
R9725 Issued in TX
Practice address
1610 Lansing LN
League City, TX 77573-7080
Phone
(516) 360-3531
Fax
(888) 581-9071
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 135124 NY
Gynecology Physician 207VG0400X 135124 NY
Gynecology Physician 207VG0400X R9725 TX Primary

Addresses

Primary practice location

1610 Lansing LN
League City, TX 77573-7080

Mailing address

1610 Lansing LN
League City, TX 77573-7080
Phone (516) 360-3531

Other practice location 1

514 Ocean Ave
Massapequa, NY 11758-4605
Phone (516) 799-4500

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 Medicine

State licenses

LicenseStateTypeSpecialty
135124NYMDGynecology Physician
R9725TXMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1063432797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 LANSING LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737080",
            "telephone_number": "516-360-3531",
            "fax_number": "888-581-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 LANSING LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737080",
            "telephone_number": "516-360-3531",
            "fax_number": "888-581-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117584605",
            "country_code": "US",
            "telephone_number": "516-799-4500",
            "fax_number": "516-799-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "135124",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "135124",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "R9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.