Active NPI
Nicklaus Lewis Brown, MD
- Internal Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.155670
- Practice address
- 30 E Apple St FL 6
Dayton, OH 45409-2939 - Phone
- (937) 208-2004
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.155670 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
30 E Apple St FL 6
Dayton, OH 45409-2939
Mailing address
30 E Apple St FL 6
Dayton, OH 45409-2939
Phone (937) 208-2004
Other practice location 1
1 Medical Center Dr Ste 325
Middletown, OH 45005-2584
Phone (513) 974-2111
Other practice location 2
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394
Other practice location 3
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
Other practice location 4
1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722
Phone (937) 208-8394
Other practice location 5
161 Wyoming St
Dayton, OH 45409-2741
Phone (937) 208-0880
Other practice location 6
3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601003747 | OH | Practitioner - Internal Medicine | 4082071071 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Wyoming St
Dayton, OH 45409-2741
Phone (937) 208-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155670 | OH | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1386347292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST FL 6",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST FL 6",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-2004"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr Ste 325",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450052584",
"country_code": "US",
"telephone_number": "513-974-2111",
"fax_number": "513-974-5156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 N Main St",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "454151180",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Miami Valley Dr",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594774",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wyoming St Ste Se3100B",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 Wyoming St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092741",
"country_code": "US",
"telephone_number": "937-208-0880",
"fax_number": "937-208-5390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3130 N County Road 25A",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453731337",
"country_code": "US",
"telephone_number": "937-440-4466",
"fax_number": "937-440-4470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "NICKLAUS",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.155670",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.