Connie L Brown, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

253984 Issued in TX

Practice address

155 Ih-10 North
Ste: 1
Beaumont, TX 77707

Phone

(281) 991-2200

Fax

(281) 991-7700

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• David R Jones M.D.,P.a.

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  • Orange, TX
  • NPI 1407032782

  TX

  Medicare reassignment NPD
• David R Jones M.D.,P.a.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Beaumont, TX
  • NPI 1649663857
  NPD
• Emergency Health Services Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1225088479
  NPD (past)
• Texas Em-I Medical Services, PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1548336332

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1073525697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 CRENSHAW RD",
            "address_2": "STE: 130",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053097",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 IH-10 NORTH",
            "address_2": "STE: 1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CONNIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "253984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha Broussard
• Rayfus Joseph Broussard, DDS
• Wendy L Broussard, OD
• Tonya Renee Brown-Nembhard, M.D.
• Bertron Brown, M.D.
• Deborah Lynne Brown, WHCNP
• Heather Maureen Brown
• Kristen Brown
• Latramekia Brown
• Lindsey Hullett Brown, APRN

• All providers in Beaumont, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.