Active NPI
Roy Anthony Brown, ROY BROWN
- Magnetic Resonance Imaging Radiologic Technologist
- Gallatin Gateway, MT
National Provider Identifier
1083845507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- RTS-RT-LIC-19005
- Practice address
- 70 Cliff Manor LN
Gallatin Gateway, MT 59730-9746 - Phone
- (619) 218-6460
- NPI assigned
- Jul 31, 2009
- Last updated
- Jun 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RHF00069929 | CA | MD | Radiography Radiologic Technologist |
| RTS-RT-LIC-19005 | MT | MD | Magnetic Resonance Imaging Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Imaging, Inc. | Radiography | Current | 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.
-
- Radiography Radiologic Technologist
- Gallatin Gateway, MT
- NPI 1871797761
-
- Pain Clinic/Center
- San Diego, CA
- NPI 1346515095
-
- Radiography Radiologic Technologist
- San Diego, CA
- NPI 1952407629
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.