James Leo Brown, MD
Individual provider Active NPI Internal Medicine Physician · Tupelo, MS
NPI 1497728968 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1497728968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 07746 (MS)
- Practice address
- 845 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-5930
- Fax
- (662) 377-5085
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07746 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Mississippi, Inc | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 07746 | MS | Yes |
Addresses
Primary practice location
845 S Madison St
Tupelo, MS 38801-4905
Mailing address
845 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-5930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115037 | Medicaid | MS |
Other providers in Tupelo, MS
- Leslie Brooke Brooks
- Rebecca Brooks
- Amanda Leigh Brown
- Brooke Pace Brown
- Cherry Brown
- Jeff T Brown
- Joanne Rolla Brown
- Megan Brown
- Savannah Marie Brown
- Stephanie Brown
All providers in Tupelo, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.