Carol Marie Brown, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20848 Issued in WI

Practice address

8825 S Howell Ave
Oak Creek, WI 53154-3760

Phone

(414) 764-0920

Fax

(414) 764-8134

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 28, 2014 through Feb 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457497927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 S ANN LOUISE DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531462320",
            "telephone_number": "262-548-0029",
            "fax_number": "262-521-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-764-0920",
            "fax_number": "414-764-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "20848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "20848",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Briesath, DPT
• Lindsey Jean Bromberek
• Quinesha Brooks
• Sarah Elizabeth Brooks, LPC-IT, ATR-P
• Alesia M Brown
• Bonnie Eve Bruno
• Shania S Bryson
• Ashante Nicole Buchanan
• Michael Patrick Buehler
• David Bugalski, ATC

• Family Medicine Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Family Medicine Physician in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.