Active NPI
William C Brown M D Inc
- Internal Medicine Physician
- Clearwater, FL
National Provider Identifier
1114187754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME61833
- Legal business name
- WILLIAM C BROWN M D INC
- Practice address
- 1103 S Fort Harrison Ave
Clearwater, FL 33756-3907 - Phone
- (727) 461-5600
- NPI assigned
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C Brown Jr., MD
- Title
- President
- Phone
- (727) 461-5600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME61833 | FL | Primary |
Addresses
Primary practice location
1103 S Fort Harrison Ave
Clearwater, FL 33756-3907
Mailing address
1103 S Fort Harrison Ave
Clearwater, FL 33756-3907
Phone (727) 461-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1103 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 443-7700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJEDBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1396741088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679011200000",
"number": "1114187754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 S FORT HARRISON AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563907",
"telephone_number": "727-461-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 S FORT HARRISON AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563907",
"telephone_number": "727-461-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM C BROWN M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-461-5600",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME61833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.