Active NPI
Gary C. Brown, MD
- Ophthalmology Physician
- Plymouth Meeting, PA
National Provider Identifier
1356309546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD018669E
- Practice address
- 4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560 - Phone
- (800) 331-6634
- Fax
- (267) 420-1360
- NPI assigned
- May 4, 2006
- Last updated
- May 12, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD018669E | PA | Primary |
| Ophthalmology Physician | 207W00000X | MA39672 | NJ |
Addresses
Primary practice location
4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560
Mailing address
4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560
Phone (267) 420-1375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488957905J | Medicaid | NJ | |
| 0007928600001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA39672 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasker Healthcare Group PC | Past | Accepting new patients |
Organizations & group practices 1
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": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1356309546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 BUTLER PIKE",
"address_2": "SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621560",
"telephone_number": "267-420-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 BUTLER PIKE",
"address_2": "SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621560",
"telephone_number": "800-331-6634",
"fax_number": "267-420-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GARY",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD018669E",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA39672",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "488957905J",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007928600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.