Individual provider Active NPI

Michael Clay Brown Jr., MD

  • Cardiovascular Disease Physician
  • Belleville, IL
National Provider Identifier
1386817468
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036168048 Issued in IL
Practice address
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone
(618) 233-3066
NPI assigned
Apr 9, 2008
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01097389A IN
Cardiovascular Disease Physician 207RC0000X 036168048 IL Primary
Cardiovascular Disease Physician 207RC0000X C0935 KY
Hospitalist Physician 208M00000X 48945 TN

Addresses

Primary practice location

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359

Mailing address

660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Phone (314) 448-3791

Other practice location 1

1111 Medical Center Cir
Mayfield, KY 42066-1194
Phone (270) 251-4527

Other practice location 2

2745 Woodland Hills Cv
Memphis, TN 38127-8820
Phone (843) 737-3689

Other identifiers 3

IdentifierTypeStateIssuer
7100219570MedicaidKY
4338888OtherTNBLUECROSS BLUESHIELD
1530355MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, TX, IL, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20121008000252 TN Practitioner - Internal Medicine 6002065083 Reassigns benefits to 3 organizations
I20230818002626 KY Practitioner - Internal Medicine 6002065083 Reassigns benefits to 2 organizations
I20240402001161 TX Practitioner - Cardiovascular Disease (Cardiology) 6002065083 Reassigns benefits to 1 organization
I20240509002889 IL Practitioner - Cardiovascular Disease (Cardiology) 6002065083
I20260318000747 IN Practitioner - Cardiovascular Disease (Cardiology) 6002065083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Practice addresses (Care Compare)

1111 Medical Ctr Cir
Mayfield, KY 42066-1194
Phone (270) 251-4045

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 464-9133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01097389AINMDCardiovascular Disease Physician
C0935KYMDCardiovascular Disease Physician
48945TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Pinelake Physician Practice, LLC Current Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Feb 8, 2026 Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Aug 15, 2025 Accepting new patients
HMC Physician Services Cardiovascular Disease CurrentSince Mar 25, 2017 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Mar 25, 2024 Accepting new patients
Deaconess Hospital, Inc Cardiovascular Disease CurrentSince Feb 8, 2026 Accepting new patients
Deaconess Hospital Inc CurrentSince Feb 8, 2026 Accepting new patients
Knoxville Hma Physician Management, LLC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Aug 15, 2025 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Jul 5, 2023 Accepting new patients
Pinelake Physician Practice, LLC Cardiovascular Disease CurrentSince Jul 5, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Mar 25, 2024 Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince Oct 1, 2016 Accepting new patients
Children and Adults Medical Group, LLC Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

935 Wayne Rd
Ste B
Savannah, TN 38372
Phone (731) 926-8373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mbrown966278@direct.deaconess.com
  • Direct secure messaging: michael.brown.2@4694.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1386817468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MASON RIDGE CENTER DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418512",
            "telephone_number": "314-448-3791",
            "fax_number": "314-996-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR STE W1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265359",
            "telephone_number": "618-233-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Medical Center Cir",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420661194",
            "country_code": "US",
            "telephone_number": "270-251-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 Woodland Hills Cv",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381278820",
            "country_code": "US",
            "telephone_number": "843-737-3689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01097389A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036168048",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "C0935",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "48945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100219570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4338888",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530355",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.