Dale F Brown, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035827 Issued in GA

Practice address

205 Lakeshore Point
St. Marys, GA 31558

Phone

(912) 510-3420

Fax

(912) 510-3425

NPI assigned

May 19, 2006

Last updated

Jan 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1184678906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAKESHORE POINT",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-510-3420",
            "fax_number": "912-510-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAKESHORE POINT",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-510-3420",
            "fax_number": "912-510-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DALE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "035827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICAL LICENSE",
            "identifier": "035827",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nannette M Brannon, LPC
• Damon W. Brantley, M.D.
• Meredith Brazell, PA
• Amelia Brewer
• Bright Medical Options, LLC
• Kaylee Susanne Brown, MD
• Nevaeh Rae Brown
• Tyler Bunkley
• Lance Burk, DPT
• Ellinor R Burke, PH.D.

• Internal Medicine Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.