Active NPI
Stephen David Brown, MD
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301505121
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-1020
- NPI assigned
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.156099 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 4301505121 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
7629 Mead St
Dearborn, MI 48126-1030
Phone (203) 997-3354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, San Diego School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
- Anderson Hospital
- SSM Health St Mary'S Hospital -Centralia
- Touchette Regional Hospital Inc
- Community Hospital of Staunton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156099 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Sparta, Inc | Emergency Medicine | Current | Accepting new patients |
| Henry Ford Health System | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Centralia Campus Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Salem Township Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Emergency Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Midwest Emergency Good Samaritan, Inc | Emergency Medicine | Current | Accepting new patients |
| Midwest Emergency Anderson Health, Inc | Emergency Medicine | Current | Accepting new patients |
| Salem Township Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1900 State St
Chester, IL 62233
Phone (618) 826-2388
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- sbrown155730@direct.covenanthealthcare.com
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Emergency Medicine Physician
- Pigeon, MI
- NPI 1154491926
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1396034245
-
- Emergency Medicine Physician
- Sparta, IL
- NPI 1194162370
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
-
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1386140366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7629 MEAD ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261030",
"telephone_number": "203-997-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STEPHEN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-30",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.156099",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301505121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.