Clark-Brown Family Care Associates, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L6830 Issued in TX

Legal business name

CLARK-BROWN FAMILY CARE ASSOCIATES, PA

Practice address

2113 E Martin Luther King Jr Blvd
Suite 101
Austin, TX 78702-1357

Phone

(512) 391-9700

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Clark-Brown, M.D.

Title

Owner

Phone

(512) 423-9886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cheryl Clark Brown Former legal business name

Locations

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1386091940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 E MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021357",
            "telephone_number": "512-391-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 E MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021357",
            "telephone_number": "512-391-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK-BROWN FAMILY CARE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "CLARK-BROWN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-423-9886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L6830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "614189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheryl Clark Brown",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Breanna Clare, LPC
• Clarity Counseling & Psychotherapy PLLC
• Clarityforge Group PLLC
• Claritymd, LLC
• Clarityxcourage
• Cheryl Monet Clark-Brown, M.D.
• Shawn Clark-Martinez
• Alexandra Leigh Clark, PHD
• Allison Clark
• Amy Patrice Clark

• Primary Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.