Active NPI
Delores E Brown, MD
- Child & Adolescent Psychiatry Physician
- Springfield, MO
National Provider Identifier
1245301803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2005040718
- Practice address
- 440 S Market Ave
Springfield, MO 65806-2026 - Phone
- (800) 432-1210
- Fax
- (417) 865-0566
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2005040718 | MO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2005040718 | MO | Primary |
Addresses
Primary practice location
440 S Market Ave
Springfield, MO 65806-2026
Mailing address
440 S Market Ave
Springfield, MO 65806-2026
Phone (800) 432-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125398 | Other | MO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Wright State University Boonshoft School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Tarpon TRL
Jacksonville, NC 28546-5287
Phone (910) 938-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005040718 | MO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Neuropsychiatric Center, PA | Psychiatry | Current | Accepting new patients |
| Psychiatric Health Services, P.a. | Psychiatry | Past | Accepting new patients |
| Gerardo J. Moreira, M.D., P.a. | Past | Accepting new patients |
Locations
200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139
302 Penny Ln
Morehead City, NC 28557
Phone (252) 726-8016
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Jacksonville, NC
- NPI 1184737462
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Teresa, NM
- NPI 1699950741
-
- Psychiatry Physician
- El Paso, TX
- NPI 1720109648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245301803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 S MARKET AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062026",
"telephone_number": "800-432-1210",
"fax_number": "417-865-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 S MARKET AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062026",
"telephone_number": "800-432-1210",
"fax_number": "417-865-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DELORES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2005040718",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "2005040718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "125398",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.