Organization Active NPI

Forrest C. Brown MD,PA

Doing business as Consulting Dermatologic Specialists

  • Specialist
  • Dallas, TX
National Provider Identifier
1205024734
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D3169 Issued in TX
Legal business name
FORREST C. BROWN MD,PA
Doing business as
Consulting Dermatologic Specialists
Practice address
7777 Forest LN
Suite C-828
Dallas, TX 75230-2505
Phone
(972) 566-4537
Fax
(972) 566-6018
NPI assigned
Oct 10, 2007
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Forrest C Brown, MD
Title
Medical Director
Phone
(972) 566-4538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D3169 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite C-828
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
Suite C-828
Dallas, TX 75230-2505
Phone (972) 566-4537

Other identifiers 1

IdentifierTypeStateIssuer
0841181-01MedicaidTX

Other names 1

  • Consulting Dermatologic Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1205024734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-828",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4537",
            "fax_number": "972-566-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-828",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4537",
            "fax_number": "972-566-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST C. BROWN MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-566-4538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D3169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0841181-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consulting Dermatologic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.