Active NPI
Malcolm Michael Brown, M.D.
- Pediatrics Physician
- Sharon, CT
National Provider Identifier
1134435522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 015971
- Practice address
- 62 Upper Main Street
Box 584
Sharon, CT 06069-2008 - Phone
- (860) 364-5864
- Fax
- (860) 364-5864
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 015971 | CT | Primary |
Addresses
Primary practice location
62 Upper Main Street
Box 584
Sharon, CT 06069-2008
Mailing address
62 Upper Main St
Box 584
Sharon, CT 06069-2008
Phone (860) 364-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015971 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1134435522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 UPPER MAIN ST",
"address_2": "BOX 584",
"city": "SHARON",
"state": "CT",
"postal_code": "060692008",
"telephone_number": "860-364-5864",
"fax_number": "860-364-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 UPPER MAIN STREET",
"address_2": "BOX 584",
"city": "SHARON",
"state": "CT",
"postal_code": "060692008",
"telephone_number": "860-364-5864",
"fax_number": "860-364-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MALCOLM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "015971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.