Active NPI
Deborah Leanne Brown, M.D.
- Family Medicine Physician
- Vero Beach, FL
National Provider Identifier
1437112562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME132747
- Practice address
- 3450 11TH CT Ste 201
Vero Beach, FL 32960-5012 - Phone
- (772) 794-3364
- Fax
- (772) 794-3366
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35095 | CO | |
| Family Medicine Physician | 207Q00000X | ME132747 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 201
Vero Beach, FL 32960-5012
Mailing address
2268 Seville Ave
Vero Beach, FL 32960-2973
Phone (970) 379-7541
Other practice location 1
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022613000 | Medicaid | FL | |
| 01350958 | Medicaid | CO |
Other names 1
- Deborah Leanne Bishop-Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35095 | CO | MD | Family Medicine Physician |
| ME132747 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3450 11th Ct
Ste 201
Vero Beach, FL 32960
Phone (772) 794-3364
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
Organizations & group practices 2
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.
-
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- NPI 1710933031
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437112562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2268 SEVILLE AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602973",
"telephone_number": "970-379-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-794-3364",
"fax_number": "772-794-3366"
}
],
"practiceLocations": [
{
"address_1": "501 Airport Rd",
"address_purpose": "LOCATION",
"city": "Rifle",
"state": "CO",
"postal_code": "816508510",
"country_code": "US",
"telephone_number": "970-625-6487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"middle_name": "LEANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "35095",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME132747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022613000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01350958",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BISHOP-BROWN",
"middle_name": "LEANNE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.