Active NPI
Philip M Brown, MD
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1063528834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L5689
- Practice address
- 8210 Walnut Hill LN
Suite 905
Dallas, TX 75231-4405 - Phone
- (214) 378-7605
- Fax
- (214) 378-7601
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L5689 | TX | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | L5689 | TX |
Addresses
Primary practice location
8210 Walnut Hill LN
Suite 905
Dallas, TX 75231-4405
Mailing address
9101 Lyndon B Johnson Fwy
Suite 710
Dallas, TX 75243-2057
Phone (214) 378-7605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BM540 | Other | TX | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1063528834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 LYNDON B JOHNSON FWY",
"address_2": "SUITE 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752432057",
"telephone_number": "214-378-7605",
"fax_number": "214-378-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "SUITE 905",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-378-7605",
"fax_number": "214-378-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PHILIP",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L5689",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "L5689",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BM540",
"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 Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.