Individual provider Active NPI

Madeline Boyd Brown, DO

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1437273141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008062 Issued in MI
Practice address
16150 Meyers Road
Detroit, MI 48235-4107
Phone
(313) 345-7940
Fax
(313) 534-7796
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5101008062 MI Primary

Addresses

Primary practice location

16150 Meyers Road
Detroit, MI 48235-4107

Mailing address

16150 Meyers Road
Detroit, MI 48235-4107
Phone (313) 345-7940

Other identifiers 2

IdentifierTypeStateIssuer
1876268MedicaidMI
0158210755OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101008062MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthland Housecall Services LLC PastSince Dec 9, 2019 Accepting new patients
Ve Care, Inc PastSince Aug 6, 2018 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437273141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 MEYERS ROAD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354107",
            "telephone_number": "313-345-7940",
            "fax_number": "313-534-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 MEYERS ROAD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354107",
            "telephone_number": "313-345-7940",
            "fax_number": "313-534-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD BROWN",
        "first_name": "MADELINE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1876268",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0158210755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.