Russell Allen Brown, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

165689-1205 Issued in UT

Practice address

4180 Network Cir
Sca18-3236
Santa Clara, CA 95054-1778

Phone

(408) 276-7728

NPI assigned

Jan 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1386949717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 NETWORK CIR",
            "address_2": "SCA18-3236",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541778",
            "telephone_number": "408-276-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 NETWORK CIR",
            "address_2": "SCA18-3236",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541778",
            "telephone_number": "408-276-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RUSSELL",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "UT",
            "license": "165689-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Broughton, ATC
• Brent David Brown, D.C.
• Ethan Dylan Brown
• Grant Brown
• Raena Lynn Brown, PA-C
• Sarah Danielle Brown, LMFT
• Tiffany Brown
• Winifred Marie Brown
• Alyssa Ashley Brucculeri
• Alice Abrera Bruce, DDS

• Clinical Pathology/Laboratory Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.