Individual provider Active NPI

Howard Ronald Brown, D.M.D.

  • General Practice Dentistry
  • Jasper, AL
National Provider Identifier
1487069035
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3084 Issued in AL
Practice address
1606 Highway 78 E
Jasper, AL 35501-4034
Phone
(205) 221-3003
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3084 AL Primary

Addresses

Primary practice location

1606 Highway 78 E
Jasper, AL 35501-4034

Mailing address

1606 Highway 78 E
Jasper, AL 35501-4034
Phone (205) 221-3003

Other identifiers 1

IdentifierTypeStateIssuer
000090846MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001036 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2264730076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3084ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr H Ron Brown General Practice Past 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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1487069035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014034",
            "telephone_number": "205-221-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014034",
            "telephone_number": "205-221-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HOWARD",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000090846",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.