NPIMap

Organization Active NPI

Samuel Y Brown MD Apmc

  • Pediatrics Physician
  • Kenner, LA
National Provider Identifier
1437326014
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD03309R Issued in LA
Legal business name
SAMUEL Y BROWN MD APMC
Practice address
3813 Williams Blvd
Kenner, LA 70065-3007
Phone
(504) 443-5437
Fax
(504) 443-2272
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Samuel Young Brown Jr., MDNPI 1225110489
Title
President/Owner
Phone
(504) 443-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X MD03309R LA Primary

Addresses

Primary practice location

3813 Williams Blvd
Kenner, LA 70065-3007

Mailing address

3813 Williams Blvd
Kenner, LA 70065-3007
Phone (504) 443-5437

Other identifiers 1

IdentifierTypeStateIssuer
1442437MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0897301Samuel Y Brown MD3813 Williams Blvd, Kenner, LA 70065Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Samuel Y Brown Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3813 Williams Blvd
Kenner, LA 70065
Phone (504) 433-5437

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1437326014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653007",
            "telephone_number": "504-443-5437",
            "fax_number": "504-443-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653007",
            "telephone_number": "504-443-5437",
            "fax_number": "504-443-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL Y BROWN MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "504-443-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD03309R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.