Deandre Brown MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N0664 Issued in TX

Legal business name

DEANDRE BROWN MD PLLC

Practice address

7227 Cana
Grand Prairie, TX 75054-6860

Phone

(214) 870-8133

NPI assigned

Jan 4, 2010

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deandre A Brown, MDNPI 1932300779

Title

President

Phone

(214) 870-8133

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Deandre A Brown, MD

  • Internal Medicine Physician
  • Grand Prairie, TX
  • NPI 1932300779
  Medicare reassignment NPD Authorized official
• Michael Olaleye Olatunji, M.D.

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1750303863
  Medicare reassignment NPD
• Adewumi Bakare, DMS, PA

  • Medical Physician Assistant
  • Mesquite, TX
  • NPI 1194961904
  Medicare reassignment

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1427388057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543539",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750543539",
            "telephone_number": "214-870-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 CANA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546860",
            "telephone_number": "214-870-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANDRE BROWN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-870-8133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB100266",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "N0664",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0051TD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark Anthony Deacon, RBT
• James Warren Dean, PA-C
• Debra's Crown
• Deemites Wellness and Psychiatric Consult PLLC
• Henry C. Dees Jr., ACNP
• Del Bosque Medical & Wellness
• Charles Ross Dell, M.D.

• Internal Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.