NPIMap

Individual provider Active NPI

Anthony W10 Brown, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1417097361
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35072871B Issued in OH
Practice address
10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4498
Phone
(513) 791-1201
Fax
(513) 791-1231
NPI assigned
Feb 8, 2007
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35072871B OH Primary

Addresses

Primary practice location

10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4498

Mailing address

10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4498
Phone (513) 791-1201

Other identifiers 1

IdentifierTypeStateIssuer
2063341MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000777 OH Practitioner - Family Practice 5698932614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Family Practice IncGroup PAC ID 6709974165, 3 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

10550 Montgomery Rd
Suite 12
Montgomery, OH 45242-4494
Phone 5137911201102

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072871BOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Family Practice, Inc Family Medicine CurrentSince Aug 1, 1998 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10550 Montgomery Rd
Ste 12
Montgomery, OH 45242
Phone (513) 791-1201

Interoperability endpoints

  • Direct secure messaging: anthonybrown@mgfp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1417097361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD",
            "address_2": "# 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424498",
            "telephone_number": "513-791-1201",
            "fax_number": "513-791-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD",
            "address_2": "# 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424498",
            "telephone_number": "513-791-1201",
            "fax_number": "513-791-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANTHONY",
        "middle_name": "W10",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072871B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.