Active NPI
Corey Nathaniel Brown, DO
- Internal Medicine Physician
- Brandon, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22375
- Practice address
- 350 Crossgates Blvd
Brandon, MS 39042-2601 - Phone
- (662) 545-7300
- NPI assigned
- Apr 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO-06316 | IA | |
| Internal Medicine Physician | 207R00000X | 19522 | ND | |
| Internal Medicine Physician | 207R00000X | 010240 | AZ | |
| Internal Medicine Physician | 207R00000X | CDR.0002502 | CO | |
| Internal Medicine Physician | 207R00000X | 334790 | LA | |
| Internal Medicine Physician | 207R00000X | 94554 | GA | |
| Internal Medicine Physician | 207R00000X | 20A11568 | CA | |
| Internal Medicine Physician | 207R00000X | U1584 | TX | |
| Internal Medicine Physician | 207R00000X | 162.0000141 | VT | |
| Internal Medicine Physician | 207R00000X | 2707-321 | WI | |
| Internal Medicine Physician | 207R00000X | 22375 | MS | Primary |
| Internal Medicine Physician | 207R00000X | H0096600 | MD | |
| Internal Medicine Physician | 207R00000X | 34C.000075 | OH | |
| Internal Medicine Physician | 207R00000X | E-7796 | AR | |
| Internal Medicine Physician | 207R00000X | 2930 | TN |
Addresses
Primary practice location
350 Crossgates Blvd
Brandon, MS 39042-2601
Mailing address
PO Box 599
Flora, MS 39071-0599
Phone (662) 545-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MS, CA, TN, IL, AZ, OK, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130103000036 | AR | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 10 organizations |
| I20130731000215 | MS | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 22 organizations |
| I20131112000462 | CA | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 1 organization |
| I20151029003073 | TN | Practitioner - Emergency Medicine | 8224281019 | Reassigns benefits to 1 organization |
| I20230424001576 | IL | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 2 organizations |
| I20230623001691 | AZ | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 6 organizations |
| I20231012000127 | OK | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 1 organization |
| I20231121001394 | AL | Practitioner - Internal Medicine | 8224281019 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11568 | CA | MD | Mental Health Counselor |
| 2930 | TN | MD | Clinical Psychologist |
| E-7796 | AR | MD | Internal Medicine Physician |
| 010240 | AZ | MD | Internal Medicine Physician |
| 20A11568 | CA | MD | Internal Medicine Physician |
| 94554 | GA | MD | Internal Medicine Physician |
| H0096600 | MD | MD | Internal Medicine Physician |
| 19522 | ND | MD | Internal Medicine Physician |
| 34C.000075 | OH | MD | Internal Medicine Physician |
| U1584 | TX | MD | Internal Medicine Physician |
| 162.0000141 | VT | MD | Internal Medicine Physician |
Practice roles (60 of 74)
Locations (25 of 58)
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
295 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3191
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
2001 S Main St
Hope, AR 71801
Phone (870) 722-3800
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351
611 W Lee Ave
Osceola, AR 72370
Phone (870) 563-7000
2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443
19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
Interoperability endpoints
- coreybrown@nmhs.medalliesdirect.net
- https://fhir-usa.unify.chbase.com/org/excpthc-2d2e2991
- corey.brown.p1@direct.glh.nextgenshare.com
- brown_corey_do@yourcarecommunity.org
Organizations & group practices 80
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.
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
MS
-
- Emergency Medicine Physician
- Starkville, MS
- NPI 1093532889
MS
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
MS
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1235857699
AZ
-
- Emergency Medicine Physician
- Hamilton, AL
- NPI 1457912297
AL
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Hamilton, AL
- NPI 1801842067
Nursing home
-
- General Acute Care Hospital
- Hamilton, AL
- NPI 1932160082
Nursing home
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunset Emergency Physicians LLCRelias Emergency Medicine Specialists of Hamilton, LLCMarion Regional Medical Center, Inc.Greenwood Leflore HospitalGreenwood Leflore HospitalRelias Emergency Medicine Specialists of West Point, LLCRH Arkansas Emergency Medicine PLLCMarshall Medical Center SouthExceptional Physicians Group Yuma Hospital PLLCNewgen Alabama Billing LLCRH Emergency Medicine of Och Regional LLCCorrect Care, Inc.
Practice addresses (Care Compare)
1200 Mohave Rd
Emergency Dept
Parker, AZ 85344-6349
Phone (954) 939-5000
1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200
1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-2603
150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300
1520 N Division St
Blytheville, AR 72315-1448
Phone (870) 838-7333
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
2648 S Araby Rd
Yuma, AZ 85365-7236
Phone 4693417800100
295 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3191
400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106
960 Hwy 71 N
Sevier Cnty Med Ctr
De Queen, AR 71832-9415
Phone (870) 642-6420
Hospital & facility affiliations
- Dekalb Regional Medical Center
- Clay County Medical Corporation
- Grove Hill Memorial Hospital
- Greenwood Leflore Hospital
- Marshall Medical Centers
- Marion Regional Medical Center
- Greenwood Leflore Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1487944617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 599",
"city": "FLORA",
"state": "MS",
"postal_code": "390710599",
"telephone_number": "662-545-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CROSSGATES BLVD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422601",
"telephone_number": "662-545-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "COREY",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "DO-06316",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "19522",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "010240",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "CDR.0002502",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "334790",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "94554",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A11568",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U1584",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "162.0000141",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "2707-321",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "22375",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0096600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34C.000075",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-7796",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "2930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.
- 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.