Active NPI
Morris Lamar Brown, MD
- Family Medicine Physician
- Centerville, OH
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35038418
- Practice address
- 1080 Deer Run Rd
Centerville, OH 45459-4924 - Phone
- (937) 689-4719
- NPI assigned
- Dec 2, 2005
- Last updated
- Nov 13, 2017
- 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 | 35038418 | OH | Primary |
Addresses
Primary practice location
1080 Deer Run Rd
Centerville, OH 45459-4924
Mailing address
1080 Deer Run Rd
Centerville, OH 45459-4924
Phone (937) 689-4719
Other practice location 1
301 W 1st St
Suite 100
Dayton, OH 45402-3033
Phone (937) 461-0800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000384724 | Other | OH | ANTHEM |
| 0347360 | Medicaid | OH | |
| 35038418B | Other | OH | MEDICAL LICENSE |
| 421534506021 | Other | OH | CHAMPUS/TRICARE/HEALTHNET |
| 421534506099 | Other | OH | CARESOURCE |
| 4013675 | Other | OH | AETNA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1184608267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 DEER RUN RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594924",
"telephone_number": "937-689-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 DEER RUN RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594924",
"telephone_number": "937-689-4719"
}
],
"practiceLocations": [
{
"address_1": "301 W 1st St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454023033",
"country_code": "US",
"telephone_number": "937-461-0800",
"fax_number": "937-496-0171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MORRIS",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35038418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000384724",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0347360",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "35038418B",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE/HEALTHNET",
"identifier": "421534506021",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "421534506099",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4013675",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.