Individual provider Active NPI

Robert Ray Brown, FNP-C

  • Family Nurse Practitioner
  • Minden, LA
National Provider Identifier
1487610879
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4055 Issued in LA
Practice address
208 Morris Dr
Minden, LA 71055-3085
Phone
(318) 377-8260
Fax
(318) 377-9053
NPI assigned
Apr 25, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO4055 LA Primary

Addresses

Primary practice location

208 Morris Dr
Minden, LA 71055-3085

Mailing address

208 Morris Dr
Minden, LA 71055-3053
Phone (318) 377-8260

Other identifiers 1

IdentifierTypeStateIssuer
1128244MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000101 LA Practitioner - Nurse Practitioner 6204888720 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APO4055LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Lake Emergency Group, LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Minden Family Care Center, LLC CurrentSince Apr 1, 2023 Accepting new patients
Webster Emergency Group LLC Nurse Practitioner CurrentSince Sep 1, 2005 Accepting new patients
Ed Physicians of West Louisiana, LLC Nurse Practitioner CurrentSince Apr 26, 2017 Accepting new patients
Homer Memorial Hospital CurrentSince Feb 17, 2015 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Nov 5, 2023 Accepting new patients
Minden Physician Practices LLC CurrentSince Aug 1, 2023 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Nov 5, 2023 Accepting new patients
Homer Memorial Hospital CurrentSince Feb 17, 2015 Accepting new patients
Minden Physician Practices LLC CurrentSince Aug 1, 2023 Accepting new patients
Family Medical Clinic of Homer, la Inc Past Accepting new patients
Minden Physician Practices LLC Family Past Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

620 E College St
Homer, LA 71040
Phone (318) 927-2024

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

208 Morris Dr
Minden, LA 71055
Phone (318) 377-8260

346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGEDAD
  • Direct secure messaging: minrbrown@yourcarecommunity.org
  • Direct secure messaging: robert.brown.1@3681.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1487610879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MORRIS DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553053",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MORRIS DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553085",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-11-03",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128244",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.