Roger Timothy Brown, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

021216 Issued in LA

Practice address

635 Lafitte St Ste B
Mandeville, LA 70448-5269

Phone

(985) 624-5305

NPI assigned

Sep 25, 2006

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Center for ADHD, Inc

  • Child & Adolescent Psychiatry Physician
  • Mandeville, LA
  • NPI 1447449715
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1538269683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD STE 25",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713282",
            "telephone_number": "985-624-5305",
            "fax_number": "985-624-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 LAFITTE ST STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485269",
            "telephone_number": "985-624-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Causeway Blvd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704713282",
            "country_code": "US",
            "telephone_number": "985-624-5305",
            "fax_number": "985-624-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROGER",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "LA",
            "license": "021216",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "021216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1673064",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eryn McCall Brown, DC
• Gerald Brent Brown, D. D. S.
• Joshua Brown
• Melissa M Brown, ANP-C
• Michael Brown, LMT
• Jan E Bruckmeier, APRN
• Janiyah Damaria Brumfield
• Laneshia Brumfield
• Lauren Brumfield
• Sylvia Fay Brumfield

• Psychiatry Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.

Verify at the official NPI Registry.