Individual provider Active NPI

Robert Lee Brownlow Jr., M.D.

  • Ophthalmology Physician
  • Wilmington, NC
National Provider Identifier
1568425403
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9400211 Issued in NC
Practice address
1104 Medical Center Dr
Wilmington, NC 28401-7305
Phone
(910) 332-3560
Fax
(910) 332-3579
NPI assigned
Apr 11, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9400211 NC Primary

Addresses

Primary practice location

1104 Medical Center Dr
Wilmington, NC 28401-7305

Mailing address

1104 Medical Center Dr
Wilmington, NC 28401-7305
Phone (910) 332-3569

Other identifiers 1

IdentifierTypeStateIssuer
5901585MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20050909000380 NC Practitioner - Ophthalmology 2961471602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Retinal Associates PCGroup PAC ID 0749281236, 5 clinicians

Practice addresses (Care Compare)

1104 Medical Ctr Dr
Wilmington, NC 28401-7305
Phone (910) 332-3560

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9400211NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Retinal Associates PC Ophthalmology CurrentSince Oct 1, 2006 Accepting new patients
Duplin Eye Associates PA PastSince Feb 16, 2020 Accepting new patients

Locations

402 N Main St
Kenansville, NC 28349
Phone (910) 296-1781

10 Doctors Cir
Ste 1
Supply, NC 28462

6 Doctors Cir
Ste 2
Supply, NC 28462
Phone (910) 796-8600

2183 James B White Hwy N
Whiteville, NC 28472
Phone (910) 332-3562

1098 Medical Center Dr
Wilmington, NC 28401

1104 Medical Center Dr
Wilmington, NC 28401
Phone 9103323560116

3562 Ansley Dr
Wilmington, NC 28412

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1568425403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-332-3569",
            "fax_number": "910-332-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-332-3560",
            "fax_number": "910-332-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLOW",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9400211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.