Organization Active NPI

Hosea E Brown MD Inc

  • Allergy Physician
  • Prescott, AZ
National Provider Identifier
1356668644
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
24719 Issued in AZ
Legal business name
HOSEA E BROWN MD INC
Practice address
3755 Karicio LN
Suite 2a
Prescott, AZ 86303-6836
Phone
(928) 445-4645
Fax
(760) 320-6244
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Hosea E Brown, M.D.
Title
President/Ceo
Phone
(760) 320-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 24719 AZ Primary

Addresses

Primary practice location

3755 Karicio LN
Suite 2a
Prescott, AZ 86303-6836

Mailing address

PO Box 1503
Palm Springs, CA 92263-1503
Phone (760) 320-9464

Other identifiers 2

IdentifierTypeStateIssuer
365975MedicaidAZ
AZ0803500OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1356668644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1503",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922631503",
            "telephone_number": "760-320-9464",
            "fax_number": "760-320-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 KARICIO LN",
            "address_2": "SUITE 2A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036836",
            "telephone_number": "928-445-4645",
            "fax_number": "760-320-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSEA E BROWN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HOSEA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-320-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "24719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365975",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0803500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.