Organization Active NPI

Christine D Brown, MD, PA

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1093946436
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H4247 Issued in TX
Legal business name
CHRISTINE D BROWN, MD, PA
Practice address
3600 Gaston Ave
Barnett Tower, Ste 901
Dallas, TX 75246
Phone
(214) 828-0016
Fax
(214) 828-4883
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Christine D Brown, MDNPI 1063460715
Title
Owner
Phone
(214) 828-0016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X H4247 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Barnett Tower, Ste 901
Dallas, TX 75246

Mailing address

PO Box 674070
Dallas, TX 75267-4070
Phone (214) 828-0016

Other identifiers 1

IdentifierTypeStateIssuer
115604402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100406000257 TX Part B Supplier - Clinic/Group Practice 6507992203 Receives reassigned benefits from 6 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3801 Gaston Ave
Ste 302
Dallas, TX 75246
Phone (214) 828-0016

1422 Main St
Ste 213
Southlake, TX 76092
Phone (817) 251-6500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1093946436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674070",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674070",
            "telephone_number": "214-828-0016",
            "fax_number": "214-828-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "BARNETT TOWER, STE 901",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-828-0016",
            "fax_number": "214-828-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE D BROWN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-828-0016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H4247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115604402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.