Individual provider Active NPI

Larry Dale Brown, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Birmingham, AL
National Provider Identifier
1124114863
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD.27550 Issued in AL
Practice address
250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone
(205) 943-4600
Fax
(205) 943-4660
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD.27550 AL Primary

Addresses

Primary practice location

250 State Farm Pkwy
Birmingham, AL 35209-7181

Mailing address

200 Wildwood Pkwy Ste 100B
Birmingham, AL 35209-7300
Phone (205) 943-4600

Other identifiers 1

IdentifierTypeStateIssuer
51140447OtherALBC

Other names 1

  • Dale Brown Other name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000361 AL Practitioner - Ophthalmology 6901905801 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.27550ALMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Partners of Alabama Inc Ophthalmology CurrentSince Nov 1, 2023 Accepting new patients
Chattanooga Retina PLLC Ophthalmology Past Accepting new patients

Locations

312 Sand Mountain Dr E
Albertville, AL 35950
Phone (256) 878-1053

2015 Rainbow Dr
Gadsden, AL 35901

200 Wildwood Pkwy
Ste 100B
Homewood, AL 35209

250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650

715 Snow St
Oxford, AL 36203
Phone (205) 295-2268

Interoperability endpoints

  • Direct secure messaging: dale.brown@eyehealthpartners.direct.eyemdemr.com

Organizations & group practices 2

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Partners of Alabama Inc 13 clinicians

Practice addresses (Care Compare)

250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone (205) 943-4600

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as individual
Quality
91.1
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1124114863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILDWOOD PKWY STE 100B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097300",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARRY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "MD.27550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "51140447",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "BROWN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.