Brent Brown, D.O LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.131728 Issued in IL

Legal business name

BRENT BROWN, D.O LLC

Practice address

1151 N. Damen Ave.
3C
Chicago, IL 60622-6999

Phone

(219) 689-4416

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brent A Brown, D.O

Title

Physician

Phone

(219) 689-4416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1205233384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 N. DAMEN AVE",
            "address_2": "APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226999",
            "telephone_number": "219-689-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N. DAMEN AVE.",
            "address_2": "3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226999",
            "telephone_number": "219-689-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT BROWN, D.O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-689-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.131728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Michael Brenner, M.D.
• Deanna Brenner, LSW
• Lauren Brenner, LCSW
• Mariaelana Brenner, MD
• Tamara Brenner
• Brent E Agran, DDS, LLC
• Brent E Agran, DDS, LLC (Northside Dental)
• Jonathan Brent, MD,PHD
• Jayme Brentan, MD
• Mark Brenzinger, PSY.D.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.