Individual provider Active NPI

William Charles Brown Jr., M.D.

  • Ophthalmology Physician
  • Newtown, PA
National Provider Identifier
1396713954
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD025381E Issued in PA
Practice address
451 S State St Ste B
Newtown, PA 18940-3566
Phone
(215) 943-7800
Fax
(215) 943-7993
NPI assigned
Mar 9, 2006
Reactivated
Oct 13, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD025381E PA Primary

Addresses

Primary practice location

451 S State St Ste B
Newtown, PA 18940-3566

Mailing address

38 Bailey Dr
Washington Crossing, PA 18977-1010
Phone (215) 622-3771

Other practice location 1

38 Bailey Dr
Washington Crossing, PA 18977-1010
Phone (215) 622-3771

Other identifiers 2

IdentifierTypeStateIssuer
MD025381EOtherPAPA LICENCE
427721FMMOtherPAMEDICAREPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000655 PA Practitioner - Ophthalmology 6901949528 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025381EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care Centers, PC CurrentSince Nov 1, 2017 Accepting new patients
Total Eye Care Centers PC Single Specialty CurrentSince Nov 1, 2017 Accepting new patients

Locations

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

451 S State St
Ste B
Newtown, PA 18940
Phone (215) 943-7800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1396713954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BAILEY DR",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771010",
            "telephone_number": "215-622-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S STATE ST STE B",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403566",
            "telephone_number": "215-943-7800",
            "fax_number": "215-943-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Bailey Dr",
            "address_purpose": "LOCATION",
            "city": "Washington Crossing",
            "state": "PA",
            "postal_code": "189771010",
            "country_code": "US",
            "telephone_number": "215-622-3771",
            "fax_number": "215-943-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "deactivation_date": "2022-09-08",
        "reactivation_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD025381E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENCE",
            "identifier": "MD025381E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAREPA",
            "identifier": "427721FMM",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.