Active NPI
Hosea E Brown MD Inc
- Allergy Physician
- Prescott, AZ
National Provider Identifier
1356668644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 24719
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365975 | Medicaid | AZ | |
| AZ0803500 | Other | AZ | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.