Individual provider Active NPI

Roy Anthony Brown, ROY BROWN

  • Magnetic Resonance Imaging Radiologic Technologist
  • Gallatin Gateway, MT
National Provider Identifier
1083845507
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
RTS-RT-LIC-19005 Issued in MT
Practice address
70 Cliff Manor LN
Gallatin Gateway, MT 59730-9746
Phone
(619) 218-6460
NPI assigned
Jul 31, 2009
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X RHF00069929 CA
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X RTS-RT-LIC-19005 MT Primary

Addresses

Primary practice location

70 Cliff Manor LN
Gallatin Gateway, MT 59730-9746

Mailing address

5288 Eastgate Mall
San Diego, CA 92121-2835
Phone (619) 218-6460

Other names 1

  • Tony Brown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RHF00069929CAMDRadiography Radiologic Technologist
RTS-RT-LIC-19005MTMDMagnetic Resonance Imaging Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Imaging, Inc. Radiography CurrentSince Jun 30, 2024 Accepting new patients
Pacific American Medical Service Inc Radiography Past Accepting new patients

Organizations & group practices 3

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1083845507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212835",
            "telephone_number": "619-218-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CLIFF MANOR LN",
            "city": "GALLATIN GATEWAY",
            "state": "MT",
            "postal_code": "597309746",
            "telephone_number": "619-218-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROY",
        "middle_name": "ANTHONY",
        "credential": "ROY BROWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "RHF00069929",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "MT",
            "license": "RTS-RT-LIC-19005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "BROWN",
            "credential": "ROY BROWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gallatin Gateway, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.