Individual provider Active NPI

Victor Brown

  • Plastic Surgery Physician
  • Miami Gardens, FL
National Provider Identifier
1437743408
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
PS40576 Issued in FL
Practice address
16805 NW 24TH CT
Miami Gardens, FL 33056-4549
Phone
(786) 863-1120
NPI assigned
Feb 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X PS40576 FL Primary

Addresses

Primary practice location

16805 NW 24TH CT
Miami Gardens, FL 33056-4549

Mailing address

16805 NW 24TH CT
Miami Gardens, FL 33056-4549
Phone (786) 863-1120

Other identifiers 1

IdentifierTypeStateIssuer
590780847MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://npiregistry.cms.hhs.gov/api/?version=2.0 Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS40576FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicode Network Solutions PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1437743408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16805 NW 24TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564549",
            "telephone_number": "786-863-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16805 NW 24TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564549",
            "telephone_number": "786-863-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "PS40576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590780847",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/api/?version=2.0",
            "affiliation": "N",
            "endpointDescription": "connection for design of product for software and network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wireframe and use cases",
            "address_1": "3800 Inverrary Blvd Ste 107",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333194316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.