Organization Active NPI

Michele D. Brown, M.D., LLC

  • Obstetrics & Gynecology Physician
  • Darien, CT
National Provider Identifier
1073940904
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
024216 Issued in CT
Legal business name
MICHELE D. BROWN, M.D., LLC
Practice address
53 Old Kings Hwy N
Suite 201
Darien, CT 06820-4735
Phone
(203) 353-1446
Fax
(203) 323-0079
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Michele Dory Brown, M.D.
Title
Owner
Phone
(203) 353-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 024216 CT Primary

Addresses

Primary practice location

53 Old Kings Hwy N
Suite 201
Darien, CT 06820-4735

Mailing address

53 Old Kings Hwy N
Suite 201
Darien, CT 06820-4735
Phone (203) 353-1446

Other identifiers 1

IdentifierTypeStateIssuer
001242164MedicaidCT

Other names 1

  • Michele D Brown, MD Doing business as

National Provider Directory

National Provider Directory

Locations

53 Old Kings Hwy N
Ste 201
Darien, CT 06820
Phone (203) 353-1446

40 Heights Rd
Ste 202
Darien, CT 06820
Phone (203) 353-1446

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1073940904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD KINGS HWY N",
            "address_2": "SUITE 201",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204735",
            "telephone_number": "203-353-1446",
            "fax_number": "203-323-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OLD KINGS HWY N",
            "address_2": "SUITE 201",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204735",
            "telephone_number": "203-353-1446",
            "fax_number": "203-323-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE D. BROWN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-353-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "024216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001242164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michele D Brown, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.