Timothy R Brown MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

C028896 Issued in CO

Legal business name

TIMOTHY R BROWN MD

Practice address

1335 Phay Ave Ste D
Canon City, CO 81212-2349

Phone

(719) 275-4061

Fax

(719) 275-4058

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Sunderman

Title

Manager/Biller

Phone

(719) 275-4061

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Roland Brown, M.D.

  • Surgery Physician
  • Canon City, CO
  • NPI 1881633816
  NPD

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1346449154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE D",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "171-927-5406",
            "fax_number": "719-275-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE D",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-275-4061",
            "fax_number": "719-275-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R BROWN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SUNDERMAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGER/BILLER",
        "authorized_official_telephone_number": "719-275-4061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "C028896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06575749",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Darin Thorsen, MS, LPCC
• Alisabeth A. Thurston-Hicks, M.D.
• Angela Lynn Tidemann, FNP
• Time for Me, LLC
• Clinton Scott Timmerman, DDS
• TLC Traveling Smiles
• Robert E Tonsing, M.D.
• Trailhead Thearpy Collective LLC
• Stephanie Traub, MA, LPC, NCC
• Sarah Troemel, FNP

• Specialist in Canon City, CO
• Providers in Canon City, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.