Active NPI
Elicia T Brown, MD
- Emergency Medicine Physician
- San Antonio, TX
National Provider Identifier
1386963809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q9129
- Practice address
- 4999 De Zavala Rd
San Antonio, TX 78249-2097 - Phone
- (210) 899-5019
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q9129 | TX | |
| Emergency Medicine Physician | 207P00000X | Q9129 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | 63623 | WI |
Addresses
Primary practice location
4999 De Zavala Rd
San Antonio, TX 78249-2097
Mailing address
4999 De Zavala Rd
San Antonio, TX 78249-2097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63623 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Complete Emergency Care I LLC | Past | Accepting new patients |
Locations
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1699288811
-
- Emergency Care Clinic/Center
- San Antonio, TX
- NPI 1326397274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1386963809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4999 DE ZAVALA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4999 DE ZAVALA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492097",
"telephone_number": "210-899-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ELICIA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q9129",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q9129",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "63623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.