Active NPI
Douglas L. Brown, M.D.
- Anesthesiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 96-203
- Practice address
- 4401 Masthead St NE
Suite 120
Albuquerque, NM 87109-4327 - Phone
- (505) 243-7729
- Fax
- (505) 243-4804
- NPI assigned
- Aug 26, 2005
- Last updated
- Oct 26, 2011
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 96-203 | NM | Primary |
Addresses
Primary practice location
4401 Masthead St NE
Suite 120
Albuquerque, NM 87109-4327
Mailing address
PO Box 36840
Albuquerque, NM 87176-6840
Phone (505) 243-7729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K2651 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Stanford University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients |
Locations
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1164415956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36840",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871766840",
"telephone_number": "505-243-7729",
"fax_number": "505-243-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 MASTHEAD ST NE",
"address_2": "SUITE 120",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094327",
"telephone_number": "505-243-7729",
"fax_number": "505-243-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DOUGLAS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "96-203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K2651",
"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 Oct 26, 2011; 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.