Warren Shelburne Brown III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70884 Issued in CA

Practice address

180 N Oakland Ave
Pasadena, CA 91101-1714

Phone

(626) 355-8595

Fax

(626) 355-8591

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Desert Vip Urgent Care

  • Urgent Care Clinic/Center
  • Palm Desert, CA
  • NPI 1467584425
  NPD (past)
• Douglas J. Roger M.D.,Inc., a Professional Corporation

  • Specialist
  • Palm Springs, CA
  • NPI 1003959677
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1083776322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD # 397",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434",
            "telephone_number": "626-355-8595",
            "fax_number": "626-355-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011714",
            "telephone_number": "626-355-8595",
            "fax_number": "626-355-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WARREN",
        "middle_name": "SHELBURNE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70884",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUM",
            "identifier": "A70884",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "S1776",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Brown
• Mya Lynae Brown
• Sarah K Brown
• Stacey Brown
• Suzanne Brown
• Jason Browning
• Samuel L Bruce, M.D.
• Stephanie Bruce
• Timothy Bruesehoff
• Kayli Brunelle

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.