Manuel L Brown Jr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

16772 Issued in KY

Practice address

1000 Neighborhood PL
Fairdale, KY 40118-9697

Phone

(812) 218-8926

Fax

(812) 218-8930

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Family Foot and Ankle Care PLLC

  • Podiatrist
  • Louisville, KY
  • NPI 1841397320
  NPD (past)
• Mobile MD Holdings LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1023187234
  NPD (past)
• Rehab Management Services Holdingsllc

  • Rehabilitation Practitioner
  • Louisville, KY
  • NPI 1861561029
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1114052677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "812-218-8926",
            "fax_number": "812-218-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEIGHBORHOOD PL",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "401189697",
            "telephone_number": "812-218-8926",
            "fax_number": "812-218-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MANUEL",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "16772",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "16772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64167729",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexey Acosta Quintana
• Mini Aggarwal, M.D.
• Alliance Chiropractic of SE, LLC
• Ameripharm, Inc
• Baughman & Ewald, P.S.C.
• Christopher David
• Andrea Edwards, LPN
• Valeri Elzy, LMT
• Mary Tyler Ewald, D.M.D.
• Fairdale Fire Protection District

• Adult Medicine Physician in Fairdale, KY
• Providers in Fairdale, KY by specialty
• Adult Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.