Individual provider Active NPI

Judith L. Brown, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Whitehall, OH
National Provider Identifier
1407975790
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35077904 Issued in OH
Practice address
3768 E Main St
Whitehall, OH 43213-2925
Phone
(513) 834-7063
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.077904 OH
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 35077904 OH
General Practice Physician 208D00000X 35077904 OH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35077904 OH Primary

Addresses

Primary practice location

3768 E Main St
Whitehall, OH 43213-2925

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Other identifiers 1

IdentifierTypeStateIssuer
1295011781MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070517000416 OH Practitioner - Internal MedicinePractitioner - Addiction Medicine 9931206430 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
West Virginia University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Nutrition Center IncGroup PAC ID 8426081357, 13 clinicians

Practice addresses (Care Compare)

1904 Bethel Rd
Columbus, OH 43220-1864
Phone (614) 864-7225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077904OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Angels of America, LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Brightview, LLC Addiction Medicine CurrentSince Jul 5, 2021 Accepting new patients
Central Ohio Nutrition Center CurrentSince Jun 1, 2022 Accepting new patients
First Step Recovery Center General Practice CurrentSince Aug 1, 2017 Accepting new patients
Central Ohio Nutrition Center, Inc CurrentSince Jun 1, 2022 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Jul 5, 2021 Accepting new patients
First Step Recovery Center CurrentSince Aug 1, 2017 Accepting new patients
Central Ohio Nutrition Center, Inc PastSince Jun 1, 2022 Accepting new patients
Addiction Angels of America, LLC PastSince Oct 1, 2019 Accepting new patients
Cornerstone Project, LLC PastSince Jul 1, 2018 Accepting new patients

Locations

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

1904 Bethel Rd
Columbus, OH 43220
Phone (614) 451-1910

4889 Sinclair Rd
Ste 111
Columbus, OH 43229
Phone (614) 396-7850

1525 Bethel Rd
Columbus, OH 43220
Phone (614) 396-7850

4660 Roberts Rd
Columbus, OH 43228
Phone (614) 876-8386

4124 Linden Ave
Ste 100
Dayton, OH 45432
Phone (937) 522-0961

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

450 Alkyre Run
Ste 120
Westerville, OH 43082
Phone (614) 847-6008

3768 E Main St
Whitehall, OH 43213
Phone (614) 972-6757

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1407975790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132925",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUDITH",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.077904",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35077904",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35077904",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35077904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295011781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

Verify at the official NPI Registry.