Individual provider Active NPI

Gary C Brown, M.D.

  • Cardiovascular Disease Physician
  • Middletown, OH
National Provider Identifier
1104803907
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35063242 Issued in OH
Practice address
103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone
(513) 217-6400
Fax
(513) 217-6037
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35063242 OH Primary

Addresses

Primary practice location

103 McKnight Dr
Suite a
Middletown, OH 45044-4890

Mailing address

103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone (513) 217-6400

Other identifiers 5

IdentifierTypeStateIssuer
000000522401OtherOHANTHEM BCBS
0882666OtherOHMOLINA HEALTHCARE OF OHIO
208679830027OtherOHCARESOURCE
283756OtherOHAMERIGROUP
0882666MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001479 OH Practitioner - Cardiovascular Disease (Cardiology) 7719948124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

30 E Apple St
Dayton, OH 45409-2939

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

5275 State Route 122
Suite 200
Franklin, OH 45005-9617
Phone (513) 217-6400

Hospital & facility affiliations

  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Apr 10, 2017 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 10, 2017 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease Current Accepting new patients
Ohio Heart and Vascular Center, Inc Cardiovascular Disease Past Accepting new patients
Neurological & Sleep Disorders Inc Past Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease Past Accepting new patients
Ohvc Associates, LLC Cardiovascular Disease Past Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

5275 State Route 122
Ste 200
Franklin, OH 45005

200 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-2535

103 McKnight Dr
Ste A
Middletown, OH 45044
Phone (513) 424-1440

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1104803907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GARY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35063242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000522401",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE OF OHIO",
            "identifier": "0882666",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "208679830027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "283756",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.