Individual provider Active NPI

David R Brown, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1073578373
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83148 Issued in FL
Practice address
11200 SW 8TH St Ahc1 Room 435
Miami, FL 33199-2516
Phone
(305) 348-1379
Fax
(305) 348-1494
NPI assigned
Apr 19, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83148 FL Primary

Addresses

Primary practice location

11200 SW 8TH St Ahc1 Room 435
Miami, FL 33199-2516

Mailing address

11200 SW 8TH St Ahc1 Room 435
Miami, FL 33199-0001
Phone (305) 348-1379

Other identifiers 1

IdentifierTypeStateIssuer
262192400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000949 FL Practitioner - Family Practice 4587793476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83148FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida International University Board of Trustees Family Medicine CurrentSince Sep 17, 2020 Accepting new patients
Florida International University Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

800 SW 108th Ave
#100
Miami, FL 33174
Phone (305) 348-0254

800 SW 108th Ave
Ste 100
Miami, FL 33174
Phone (305) 348-3627

Interoperability endpoints

  • Direct secure messaging: david.brown.1@27920.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27920/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1073578373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST AHC1 ROOM 435",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331990001",
            "telephone_number": "305-348-1379",
            "fax_number": "305-348-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST AHC1 ROOM 435",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-1379",
            "fax_number": "305-348-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262192400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.