Active NPI
Stephen R. Brown, M.D., PA
- Gynecology Physician
- Texarkana, TX
National Provider Identifier
1235551755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- STEPHEN R. BROWN, M.D., PA
- Practice address
- 2006 Moores LN
Texarkana, TX 75503-1840 - Phone
- (903) 792-6944
- Fax
- (903) 792-6213
- NPI assigned
- Jan 17, 2014
- Last updated
- Jan 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen R. Brown, M.D.
- Title
- Owner/Manager
- Phone
- (903) 792-6944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
2006 Moores LN
Texarkana, TX 75503-1840
Mailing address
2006 Moores LN
Texarkana, TX 75503-1840
Phone (903) 792-6944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80549 | Medicaid | AR | |
| 00EZ54 | Other | TX | MEDICARE ID |
| 0330789-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2006 Moores Ln
Texarkana, TX 75503
Phone (903) 792-6944
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Texarkana, TX
- NPI 1710986930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1235551755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031840",
"telephone_number": "903-792-6944",
"fax_number": "903-792-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031840",
"telephone_number": "903-792-6944",
"fax_number": "903-792-6213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN R. BROWN, M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "903-792-6944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80549",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00EZ54",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330789-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.