Active NPI
Matthew Austin Brown, MD
- Family Medicine Physician
- Mountain Grove, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011010536
- Practice address
- 9100 13TH Rd
Mountain Grove, MO 65711-2387 - Phone
- (417) 260-4150
- NPI assigned
- Aug 7, 2008
- Last updated
- Apr 20, 2024
- 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 | 2011010536 | MO | Primary |
Addresses
Primary practice location
9100 13TH Rd
Mountain Grove, MO 65711-2387
Mailing address
9100 13TH Rd
Mountain Grove, MO 65711-2387
Phone (417) 260-4150
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431560263 | Other | MO | TRICARE |
| 26D0889777 | Other | MO | CLIA |
| P00985958 | Other | MO | RR MCR |
| 205648306 | Medicaid | MO | |
| 1174779300 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 W Broadway Ave
Missouri Ozarks Community Health
Ava, MO 65608-1359
Phone (417) 683-5739
PO Box
Suite 1359
Ava, MO 65608-1359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011010536 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Douglas County Public Health Services Group, Inc. | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
804 N Highway 5
Mansfield, MO 65704
Phone (417) 924-8809
Interoperability endpoints
- mbrown208370@directb.mercy.net
Organizations & group practices 5
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.
-
dba Missouri Ozarks Community Health
- Federally Qualified Health Center (FQHC)
- Mansfield, MO
- NPI 1912904004
-
dba Missouri Ozarks Community Health
- Federally Qualified Health Center (FQHC)
- Gainesville, MO
- NPI 1598762593
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
-
dba TCMH Internal Medicine
- Rural Health Clinic/Center
- Houston, MO
- NPI 1710004486
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713571200000",
"number": "1174779300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 13TH RD",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657112387",
"telephone_number": "417-260-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 13TH RD",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657112387",
"telephone_number": "417-260-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MATTHEW",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2011010536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "431560263",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "26D0889777",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00985958",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205648306",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174779300",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.