Michael Dewayne Brown Jr., D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7974 Issued in OK

Practice address

1425 E Lincoln Rd Ste B3
Idabel, OK 74745-7345

Phone

(580) 286-2947

Fax

(580) 286-8287

NPI assigned

Jan 19, 2007

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, OK, AR3 enrollments

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 3

Specialty

General SurgeryAlso: Vascular Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McCurtain Memorial Medical Management, Inc.Group PAC ID 8022926252, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.brown.1@19961.direct.athenahealth.com
• Direct secure messaging: michael.brown.1@6815.direct.athenahealth.com

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.

• McCurtain Memorial Medical Management, Inc.

  • Surgery Physician
  • De Queen, AR
  • NPI 1548016694
  Medicare reassignment Care Compare group NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  Medicare reassignment NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Michael D. Brown, Jr., D.O., PA

  • Surgery Physician
  • Paris, TX
  • NPI 1407067267
  Authorized official Same address or phone
• McCurtain Memorial Medical Management, Inc.

  • Certified Registered Nurse Anesthetist
  • Idabel, OK
  • NPI 1184838203
  NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Surgical Clinic

  • Surgery Physician
  • Idabel, OK
  • NPI 1356506109
  NPD
• Bonham Emergency Medicine LLC

  dba GEMS Express Care

  • Family Medicine Physician
  • Belleville, IL
  • NPI 1861654774
  NPD (past)

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

• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1427101765",
    "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": "1425 E LINCOLN RD STE B3",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-2947",
            "fax_number": "580-286-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "7974",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M5650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186360701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Clarice Bond, WELLNESS COACH
• Mary L. Bradley-Leboeuf, M.D.
• Tammy Louise Bray-Wright, C-CHW/PRN
• Brighter Heights Oklahoma, LLC (Brighter Heights Oklahoma)
• Brighter Heights Oklahoma, LLC
• Kelli Brumley
• Wendy Lynn Burge
• Samantha Lynn Burke
• Janie Burris, RN
• Vanessa M Burris

• Surgery Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.