Active NPI
William Lee Brown IV, DO
- Family Medicine Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T-3742
- Practice address
- 905C S Frontage Rd
Meridian, MS 39301-6113 - Phone
- (601) 482-4955
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T-3742 | MS | Primary |
Addresses
Primary practice location
905C S Frontage Rd
Meridian, MS 39301-6113
Mailing address
905C S Frontage Rd
Meridian, MS 39301-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707002110 | MS | Practitioner - Family Practice | 8123408259 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WMC Emergency Services LLC
Practice addresses (Care Compare)
17550 E Main St
Louisville, MS 39339-2772
Phone (662) 446-1072
Hospital & facility affiliations
- Winston Medical Center
- Ochsner Rush Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.18 of 100
- Quality
- 78.43
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3742 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Family Medicine | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| WMC Emergency Services LLC | Current | Accepting new patients |
Locations
17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Interoperability endpoints
- william.brown.1@18357.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, MS
- NPI 1073597126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1124680004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905C S FRONTAGE RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905C S FRONTAGE RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016113",
"telephone_number": "601-482-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "WILLIAM",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "T-3742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.