Individual provider Active NPI

Noel C Brown, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1225126774
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
198356 Issued in NY
Practice address
1 Fordham PLZ
Bronx, NY 10458-5871
Phone
(718) 405-4010
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 198356 NY Primary

Addresses

Primary practice location

1 Fordham PLZ
Bronx, NY 10458-5871

Mailing address

1 Fordham PLZ
Bronx, NY 10458-5871
Phone (718) 405-4010

Other identifiers 1

IdentifierTypeStateIssuer
01652033MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000326 NY Practitioner - Family Practice 8224127956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 18, 2010 Accepting new patients
Montefiore Medical Center CurrentSince Jan 18, 2010 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1 Fordham Plz
Bronx, NY 10458
Phone (718) 405-4010

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300

730 Brook Ave
Bronx, NY 10455
Phone (718) 484-1247

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1225126774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585871",
            "telephone_number": "718-405-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585871",
            "telephone_number": "718-405-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NOEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "198356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.