Individual provider Active NPI

William Clay Brown, MD

  • Family Medicine Physician
  • Winnie, TX
National Provider Identifier
1306887534
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H3859 Issued in TX
Practice address
1178 2ND St
Winnie, TX 77665-9310
Phone
(409) 296-9505
Fax
(409) 296-2506
NPI assigned
Jun 9, 2006
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H3859 TX Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X H3859 TX

Addresses

Primary practice location

1178 2ND St
Winnie, TX 77665-9310

Mailing address

1105 Lone Star Dr
Houston, TX 77055-6516
Phone (713) 851-3008

Other identifiers 3

IdentifierTypeStateIssuer
8S2463OtherTXBCBS INDIVIDUAL NUMBER
0038MQOtherTXBCBS GROUP NUMBER
179381201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060228000624 TX Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Family Practice 6800802885 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Emergency Partners CurrentSince Apr 16, 2013 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Nov 1, 2019 Accepting new patients
Bay Area Emergency Physicians Past Accepting new patients

Locations

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2273

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

17400 St Lukes Way
The Woodlands, TX 77384
Phone (932) 266-9000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1306887534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 LONE STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556516",
            "telephone_number": "713-851-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 2ND ST",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776659310",
            "telephone_number": "409-296-9505",
            "fax_number": "409-296-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3859",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "H3859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "8S2463",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0038MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179381201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnie, TX

Sources for this page

Verify at the official NPI Registry.