Active NPI
Michael Clay Brown Jr., MD
- Cardiovascular Disease Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036168048
- Practice address
- 4600 Memorial Dr Ste W1
Belleville, IL 62226-5359 - Phone
- (618) 233-3066
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 12, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100219570 | Medicaid | KY | |
| 4338888 | Other | TN | BLUECROSS BLUESHIELD |
| 1530355 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY, TX, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
- Deaconess Specialty Physicians, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01097389A | IN | MD | Cardiovascular Disease Physician |
| C0935 | KY | MD | Cardiovascular Disease Physician |
| 48945 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Deaconess Speciality Physicians, Inc | Current | Accepting new patients | |
| HMC Physician Services | Cardiovascular Disease | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Knoxville Hma Physician Management, LLC | Hospitalist | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Cogent Healthcare of Tennessee, PC | Current | 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
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- mbrown966278@direct.deaconess.com
- 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.
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1295960532
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
- Cardiovascular Disease Physician
- Henderson, KY
- NPI 1124522750
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
- Orthopaedic Surgery Physician
- Savannah, TN
- NPI 1316246705
Cardiovascular Disease
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
Hospitalist
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
dba Choctaw Nation Health Care Clinic-Mcalester
- Primary Care Clinic/Center
- McAlester, OK
- NPI 1952377939
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Care Group Gateway
- Hospitalist Physician
- Newburgh, IN
- NPI 1477592418
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Morganfield, KY
- NPI 1497320519
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
-
dba Jackson Purchase Medical Center
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.