Carmen Brown LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA2002-0030 Issued in NM

Legal business name

CARMEN BROWN LLC

Practice address

10409 Manzanillo Ave NE
Albuquerque, NM 87111-1724

Phone

(505) 304-4248

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Rodica Carmen Brown, PA

Title

Owner

Phone

(505) 304-4248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1083090419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 MANZANILLO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111724",
            "telephone_number": "505-304-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MANZANILLO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111724",
            "telephone_number": "505-304-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN BROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODICA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-304-4248",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2002-0030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance K Carlton
• Amber Carman, R.N.
• Angela Faye Carman, LMSW
• Hillary Carman, B.A.
• Emily B Carmany, PA-C
• Ilene Marie Carmenaty, R.N.
• Bonnie Carmichael, MD
• Martha Carmody, PH.D.
• Melinda Susan Carmody, PHARMD
• Phillip William Carmody, MD

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.