Individual provider Active NPI

Michael David Brown

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1215479241
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10970 Issued in TX
Practice address
607 Camden St Ste 101
San Antonio, TX 78215-2100
Phone
(210) 253-3426
Fax
(726) 203-4346
NPI assigned
Nov 8, 2016
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10970 TX Primary

Addresses

Primary practice location

607 Camden St Ste 101
San Antonio, TX 78215-2100

Mailing address

607 Camden St Ste 101
San Antonio, TX 78215-2100
Phone (210) 783-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002830 TX Practitioner - Physician Assistant 9537446752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David a Marks MD PAGroup PAC ID 3072698000, 2 clinicians

Practice addresses (Care Compare)

115 Gallery Cir
Suite 102
San Antonio, TX 78258-3389
Phone (210) 494-4220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David a Marks MD PA CurrentSince Oct 1, 2025 Accepting new patients
Privia Medical Group Gulf Coast PLLC Past Accepting new patients

Locations

115 Gallery Cir
Ste 102
San Antonio, TX 78258
Phone (210) 481-6060

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1215479241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152100",
            "telephone_number": "210-783-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152100",
            "telephone_number": "210-253-3426",
            "fax_number": "726-203-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.