Individual provider Active NPI

Michael Paul Brown, DO

  • Family Medicine Physician
  • Litchfield Park, AZ
National Provider Identifier
1386800076
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005113 Issued in AZ
Practice address
14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone
(623) 935-9600
Fax
(623) 935-9602
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005113 AZ Primary

Addresses

Primary practice location

14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426

Mailing address

14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600

Other practice location 1

21753 N 77th Ave
Peoria, AZ 85382-2110
Phone (623) 935-9600

Other practice location 2

14044 W Camelback Rd Ste 128
Litchfield Park, AZ 85340-9492
Phone (623) 935-9600

Other practice location 3

14044 W Camelback Rd Ste 128
Litchfield Park, AZ 85340-9492
Phone (623) 935-9600

Other identifiers 1

IdentifierTypeStateIssuer
511331MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005113AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Pinnacle Family Medicine PLC Family Medicine PastSince Sep 5, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386800076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 204",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 204",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21753 N 77th Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822110",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14044 W Camelback Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409492",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14044 W Camelback Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409492",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.