Individual provider Active NPI

Megan M. Brown, MD

  • Dermatology Physician
  • Tyler, TX
National Provider Identifier
1386087617
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
T5273 Issued in TX
Practice address
909 Ese Loop323 Ste 110
Tyler, TX 75701-9675
Phone
(903) 531-2850
NPI assigned
Apr 17, 2013
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 573272 TX
Dermatology Physician 207N00000X A134007 CA
Dermatology Physician 207N00000X T5273 TX Primary

Addresses

Primary practice location

909 Ese Loop323 Ste 110
Tyler, TX 75701-9675

Mailing address

1777 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 531-2850

Other practice location 1

8899 University Lane
Suite 350
San Diego, CA 92122
Phone (858) 657-1600

Other practice location 2

9898 Genesee
Anderson Medical Pavilion 500
La Jolla, CA 92037-1205
Phone (858) 824-5434

Other practice location 3

9898 Genesee - Anderson Medical Pavilion 500
La Jolla, CA 92037
Phone (858) 824-5434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170713003620 CA Practitioner - Dermatology 4587958210 Reassigns benefits to 2 organizations
I20221025001817 TX Practitioner - Dermatology 4587958210 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134007CAMDDermatology Physician
573272TXMDDermatology Physician
T5273TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Skin & Cancer Medical Group, Inc. Dermatology CurrentSince Jul 1, 2017 Accepting new patients
Scripps Health Dermatology Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Mar 2, 2020 Accepting new patients
Dermatology of East Texas PA Dermatology CurrentSince Oct 3, 2022 Accepting new patients
Scripps Health CurrentSince Mar 2, 2020 Accepting new patients

Locations

256 Landis Ave
Fl 3
Chula Vista, CA 91910
Phone (619) 426-9600

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222

9898 Genesee Ave
#500
La Jolla, CA 92037
Phone (858) 824-5434

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

1777 Troup Hwy
Tyler, TX 75701
Phone (903) 531-2850

909 Ese 323 Loop
Ste 110
Tyler, TX 75701
Phone (903) 531-2850

Interoperability endpoints

  • Direct secure messaging: mbrown@easttexas.emadirect.md
  • Direct secure messaging: mbrown361134@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1386087617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015869",
            "telephone_number": "903-531-2850",
            "fax_number": "903-531-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019675",
            "telephone_number": "903-531-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8899 University Lane",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92122",
            "country_code": "US",
            "telephone_number": "858-657-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9898 Genesee",
            "address_2": "Anderson Medical Pavilion 500",
            "address_purpose": "LOCATION",
            "city": "La Jolla",
            "state": "CA",
            "postal_code": "920371205",
            "country_code": "US",
            "telephone_number": "858-824-5434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9898 Genesee - Anderson Medical Pavilion 500",
            "address_purpose": "LOCATION",
            "city": "La Jolla",
            "state": "CA",
            "postal_code": "92037",
            "country_code": "US",
            "telephone_number": "858-824-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MEGAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "573272",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A134007",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T5273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.