Paul Edwin Brown, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001040 Issued in DE

Practice address

1601 Milltown Rd Ste 19
Wilmington, DE 19808-4084

Phone

(302) 999-7600

Fax

(302) 998-6704

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Dental LLC

  • General Practice Dentistry
  • Seaford, DE
  • NPI 1922422435
  Authorized official Same address or phone
• Alfred B. Brown DDS, PA

  • Dentist
  • Wilmington, DE
  • NPI 1821133349
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396880894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 19",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-999-7600",
            "fax_number": "302-998-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 19",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-999-7600",
            "fax_number": "302-998-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Delena Brown I, CASE MANAGER
• Mark Benson Brown, DMD
• Melinda S. Brown, CRNA
• Melody Brown
• Nathaniel Le'Mar Brown
• Samantha Brown, IBCLC
• Sharon M Brown, MSPT
• Sharon Marie Brown
• Terri Lynn Brown, MPT
• Valerie M Brown

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.