NPIMap

Organization Active NPI

Michael D. Brown, Jr., D.O., PA

  • Surgery Physician
  • Paris, TX
National Provider Identifier
1407067267
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M5650 Issued in TX
Legal business name
MICHAEL D. BROWN, JR., D.O., PA
Practice address
1055 Clarksville St
Suite 155
Paris, TX 75460-6097
Phone
(903) 737-8808
Fax
(903) 737-8860
NPI assigned
May 24, 2007
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Michael D Brown Jr., D.O.NPI 1427101765
Title
Chairman
Phone
(903) 737-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X M5650 TX Primary

Addresses

Primary practice location

1055 Clarksville St
Suite 155
Paris, TX 75460-6097

Mailing address

1055 Clarksville St
Suite 155
Paris, TX 75460-6097
Phone (903) 737-8808

Other identifiers 1

IdentifierTypeStateIssuer
186218701MedicaidTX

National Provider Directory

National Provider Directory

Locations

1055 Clarksville St
Ste 1558
Paris, TX 75460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1407067267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST",
            "address_2": "SUITE 155",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606097",
            "telephone_number": "903-737-8808",
            "fax_number": "903-737-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST",
            "address_2": "SUITE 155",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606097",
            "telephone_number": "903-737-8808",
            "fax_number": "903-737-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. BROWN, JR., D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "903-737-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M5650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186218701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

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