Organization Active NPI

Cecil Y Brown M.D., P.a.

  • Family Medicine Physician
  • Laurens, SC
National Provider Identifier
1407956188
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CECIL Y BROWN M.D., P.A.
Practice address
314 W Farley Ave
Laurens, SC 29360-3055
Phone
(864) 984-0502
Fax
(864) 984-5534
NPI assigned
Sep 23, 2006
Last updated
Feb 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2008

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

Authorized official

Name
Cecil Y Brown, M. D.NPI 1598862179
Title
President
Phone
(864) 984-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

314 W Farley Ave
Laurens, SC 29360-3055

Mailing address

314 W Farley Ave
Laurens, SC 29360-3055
Phone (864) 984-0502

Other identifiers 1

IdentifierTypeStateIssuer
GP0308MedicaidSC

National Provider Directory

National Provider Directory

Locations

314 W Farley Ave
Laurens, SC 29360
Phone (864) 984-0502

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": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1407956188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W FARLEY AVE",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603055",
            "telephone_number": "864-984-0502",
            "fax_number": "864-984-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W FARLEY AVE",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603055",
            "telephone_number": "864-984-0502",
            "fax_number": "864-984-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL Y BROWN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-984-0502",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0308",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.