Organization Active NPI

Dr H Ron Brown

  • General Practice Dentistry
  • Jasper, AL
National Provider Identifier
1386868461
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3084 Issued in AL
Legal business name
DR H RON BROWN
Practice address
1606 Hwy 78 E
Jasper, AL 35504-4034
Phone
(205) 221-3003
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. H Ron Brown, DDS
Title
President
Phone
(205) 221-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3084 AL Primary

Addresses

Primary practice location

1606 Hwy 78 E
Jasper, AL 35504-4034

Mailing address

1606 Hwy 78 E
Jasper, AL 35504-4034
Phone (205) 221-3003

Other identifiers 2

IdentifierTypeStateIssuer
000090846MedicaidAL
51090846OtherALBLUE CROSS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

1606 Highway 78 E
Jasper, AL 35501
Phone (205) 221-3003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1386868461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 HWY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355044034",
            "telephone_number": "205-221-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HWY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355044034",
            "telephone_number": "205-221-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR H RON BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-221-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000090846",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51090846",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.