Active NPI
Calvin Richard Brown, M.D.
- Specialist
- Akron, OH
National Provider Identifier
1508868472
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35041051
- Practice address
- 1655 W Market St
Suite L
Akron, OH 44313-7004 - Phone
- (330) 867-9408
- Fax
- (330) 867-3457
- NPI assigned
- Aug 11, 2005
- Reactivated
- Mar 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35041051 | OH | Primary |
Addresses
Primary practice location
1655 W Market St
Suite L
Akron, OH 44313-7004
Mailing address
1655 W Market St
Suite L
Akron, OH 44313-7004
Phone (330) 867-9408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424697 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041051 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1508868472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 W MARKET ST",
"address_2": "SUITE L",
"city": "AKRON",
"state": "OH",
"postal_code": "443137004",
"telephone_number": "330-867-9408",
"fax_number": "330-867-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 W MARKET ST",
"address_2": "SUITE L",
"city": "AKRON",
"state": "OH",
"postal_code": "443137004",
"telephone_number": "330-867-9408",
"fax_number": "330-867-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CALVIN",
"middle_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2008-03-21",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35041051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0424697",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.