Paul Richard Brown, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

G54298 Issued in CA

Practice address

6305 Coyle Ave
Carmichael, CA 95608-0438

Phone

(916) 961-6920

Fax

(916) 966-5063

NPI assigned

Jun 23, 2006

Last updated

Oct 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dignity Health Medical Foundation

  dba Mercy Imaging Centers, a service of Dignity Health Medical Foundation

  • Radiology Clinic/Center
  • Roseville, CA
  • NPI 1821028200
  NPD (past)
• Dignity Health Medical Foundation

  dba Mercy Imaging Centers, a service of Dignity Health Medical Foundation

  • Radiology Clinic/Center
  • Carmichael, CA
  • NPI 1821028291
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1508892621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080438",
            "telephone_number": "916-961-6920",
            "fax_number": "916-966-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G54298",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G54298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G542980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300025339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William George Bronston, MD
• Stephanie Lynn Brooks
• Brittani A Brothers, PA-C
• Bethany J Brown
• Ebony Katrese Brown
• Richard Clinton Brown, DDS
• Tracy Robertson Brown, M.D.
• Ying Brown, M.D.
• Catherine Rose Buckley, LPT
• Jennifer Buczko, M.A.

• Vascular & Interventional Radiology Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.