Individual provider Active NPI

Brittany Rush Brown, DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1093196784
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11202 Issued in NC
Practice address
6207 Park South Dr Ste 102
Charlotte, NC 28210-3653
Phone
(704) 553-0008
Fax
(704) 553-0076
NPI assigned
Jun 18, 2015
Last updated
Aug 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11202 NC Primary

Addresses

Primary practice location

6207 Park South Dr Ste 102
Charlotte, NC 28210-3653

Mailing address

6207 Park South Dr Ste 102
Charlotte, NC 28210-3653
Phone (704) 553-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002144 AL Order and Referring Only - DentistPractitioner - Dentist 7214240621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11202NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1093196784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 PARK SOUTH DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103653",
            "telephone_number": "704-553-0008",
            "fax_number": "704-553-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 PARK SOUTH DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103653",
            "telephone_number": "704-553-0008",
            "fax_number": "704-553-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRITTANY",
        "middle_name": "RUSH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.