Active NPI
Mark Carlton Brown, M.D.
- Internal Medicine Physician
- Sun City, AZ
National Provider Identifier
1225021264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19655
- Practice address
- 14678 N del Webb Blvd
Sun City, AZ 85351-2137 - Phone
- (623) 933-8289
- Fax
- (623) 933-2596
- NPI assigned
- Aug 24, 2005
- Last updated
- Sep 9, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19655 | AZ | Primary |
Addresses
Primary practice location
14678 N del Webb Blvd
Sun City, AZ 85351-2137
Mailing address
14678 N del Webb Blvd
Sun City, AZ 85351-2137
Phone (623) 933-8289
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110078151 | Other | AZ | RAILROAD MEDICARE |
| AZ0349500 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxwell Group | Internal Medicine | Current | Accepting new patients |
Locations
14678 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 933-8289
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1225021264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14678 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512137",
"telephone_number": "623-933-8289",
"fax_number": "623-933-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14678 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512137",
"telephone_number": "623-933-8289",
"fax_number": "623-933-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARK",
"middle_name": "CARLTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "19655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110078151",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0349500",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.