Active NPI
Scott Brown MD LLC
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1154412740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SCOTT BROWN MD LLC
- Practice address
- 711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619 - Phone
- (505) 265-2244
- Fax
- (505) 265-0557
- NPI assigned
- Sep 27, 2006
- 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
- Dr. Scott E Brown, M.D.
- Title
- Member
- Phone
- (505) 265-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619
Mailing address
711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619
Phone (505) 265-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00042729 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
1817 Central Ave NW
Albuquerque, NM 87104
Phone (505) 243-7839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1154412740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 ENCINO PL NE",
"address_2": "SUITE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022619",
"telephone_number": "505-265-2244",
"fax_number": "505-265-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ENCINO PL NE",
"address_2": "SUITE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022619",
"telephone_number": "505-265-2244",
"fax_number": "505-265-0557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT BROWN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "505-265-2244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00042729",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.