Individual provider Active NPI

Cristal Latanza Brown, MD

  • Hepatology Physician
  • Austin, TX
National Provider Identifier
1578730388
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
S4271 Issued in TX
Practice address
1601 Trinity St
Austin, TX 78712-1765
Phone
(512) 324-7831
Fax
(512) 324-7835
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 149495 NC
Gastroenterology Physician 207RG0100X 303556 LA
Hepatology Physician 207RI0008X 303556 LA
Hepatology Physician 207RI0008X S4271 TX Primary

Addresses

Primary practice location

1601 Trinity St
Austin, TX 78712-1765

Mailing address

1601 Trinity St # Z0900
Austin, TX 78712-1765
Phone (512) 324-7831

Other identifiers 2

IdentifierTypeStateIssuer
2430963MedicaidLA
01052576MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191216000306 TX Practitioner - Internal Medicine 1153637202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1601 Trinity St
Austin, TX 78712-1765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149495NCMDInternal Medicine Physician
303556LAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas at Austin CurrentSince Dec 6, 2019 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Dec 6, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2020 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

1601 Trinity St
#Z900
Austin, TX 78712

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300

Interoperability endpoints

  • Direct secure messaging: cristal.brown.1@8363.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1578730388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST # Z0900",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "512-324-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "512-324-7831",
            "fax_number": "512-324-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CRISTAL",
        "middle_name": "LATANZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "149495",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "303556",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "LA",
            "license": "303556",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "S4271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430963",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052576",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.