Active NPI
Matthew Christian Brown, M.D.
- Family Medicine Physician
- Mountain Home Afb, ID
National Provider Identifier
1578825501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27734
- Practice address
- 90 Hope Dr BLDG 6000
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7401
- NPI assigned
- Jun 14, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27734 | NE | Primary |
Addresses
Primary practice location
90 Hope Dr BLDG 6000
Mountain Home Afb, ID 83648
Mailing address
31 Medical Group
Unit 6180
Apo, AE 09604-6180
Other practice location 1
201 Independence Drive
14th Medical Group
Columbus AFB, MS 39710
Phone (662) 434-2292
Other practice location 2
31 Medical Group
Unit 6180
Apo, AE 09604-6180
Phone (043) 430-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140929002360 | CA | Order and Referring Only - Family Practice | 2062632854 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27734 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1578825501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "31 MEDICAL GROUP",
"address_2": "UNIT 6180",
"city": "APO",
"state": "AE",
"postal_code": "096046180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOPE DR BLDG 6000",
"city": "MOUNTAIN HOME AFB",
"state": "ID",
"postal_code": "83648",
"telephone_number": "208-828-7401"
}
],
"practiceLocations": [
{
"address_1": "201 Independence Drive",
"address_2": "14th Medical Group",
"address_purpose": "LOCATION",
"city": "Columbus AFB",
"state": "MS",
"postal_code": "39710",
"country_code": "US",
"telephone_number": "662-434-2292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Medical Group",
"address_2": "Unit 6180",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "096046180",
"country_code": "US",
"telephone_number": "043-430-5038",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MATTHEW",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "27734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home Afb, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.