Clayton G Brown, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.014714 Issued in LA

Practice address

4727 W Park Dr Ste a
Zachary, LA 70791-4090

Phone

(225) 654-0027

Fax

(225) 654-0052

NPI assigned

Mar 30, 2006

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Clayton G Brown MD a Professional Medical Corporation

  • Internal Medicine Physician
  • Zachary, LA
  • NPI 1215238878
  Authorized official Same address or phone

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1235190182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 PIPER RD",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707779635",
            "telephone_number": "225-654-0027",
            "fax_number": "225-654-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 W PARK DR STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914090",
            "telephone_number": "225-654-0027",
            "fax_number": "225-654-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLAYTON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.014714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310484",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Broadnax, MED
• Maryann Brock, PT
• Kirsten Brouillette
• Bailey Michelle Broussard
• Michael Broussard, PT
• Devin Brown, M.ED., PLPC, NCC
• James Witschen Bryce II, RPH
• Sarah Robert Bueche, LOTR
• Haley Caire, MD
• Amanda Callihan, LOTR

• Internal Medicine Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.

Verify at the official NPI Registry.