Individual provider Active NPI

Phillip Benton Brown, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1417002544
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23373 Issued in OK
Practice address
4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3773
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23373 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd
Oklahoma City, OK 73120-8382

Mailing address

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Other identifiers 1

IdentifierTypeStateIssuer
200110800AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070808000463 OK Practitioner - Anesthesiology 5890886675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Anesthesia, LLCGroup PAC ID 5294055257, 12 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23373OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma City Anesthesia, LLC Anesthesiology CurrentSince Jun 21, 2010 Accepting new patients
Ohh Anesthesia, LLC Anesthesiology CurrentSince Apr 1, 2015 Accepting new patients
Anesthesiology Management Inc Anesthesiology Past Accepting new patients
St Marys Anesthesia Group Anesthesiology Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

Dept 960507
Oklahoma City, OK 73196

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

7800 NW 85th Ter
#200
Oklahoma City, OK 73132

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1417002544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PHILLIP",
        "middle_name": "BENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "23373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.