Active NPI
Michael H Brown, M.D.
- Urology Physician
- Pinole, CA
National Provider Identifier
1235143314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G8290
- Practice address
- 1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512 - Phone
- (510) 724-1500
- Fax
- (510) 724-2265
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G8290 | CA | Primary |
Addresses
Primary practice location
1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512
Mailing address
1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512
Phone (510) 724-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ70211Z | Medicaid | CA | |
| 000G82900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York Downstate Medical Center, 1961
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1430 Tara Hills Dr
A
Pinole, CA 94564-2512
1430 Tara Hills Dr a
Pinole, CA 94564-2512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8290 | CA | MD | Urology Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mbrown161537@hisp.ehr.sutterhealth.org
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.
-
- Urology Physician
- Pinole, CA
- NPI 1588688154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235143314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TARA HILLS DR STE A",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642512",
"telephone_number": "510-724-1500",
"fax_number": "510-724-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TARA HILLS DR STE A",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642512",
"telephone_number": "510-724-1500",
"fax_number": "510-724-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G8290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ70211Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G82900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.