Individual provider Active NPI

Stephen E Brown, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Long Beach, CA
National Provider Identifier
1588698161
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
G28692 Issued in CA
Practice address
4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008
Phone
(562) 422-1110
Fax
(562) 422-1160
NPI assigned
Jul 10, 2006
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X G28692 CA Primary
Pulmonary Disease Physician 207RP1001X G28692 CA

Addresses

Primary practice location

4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008

Mailing address

4300 Long Beach Blvd Ste 405
Long Beach, CA 90807-2008
Phone (562) 422-1110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000291 CA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 0446251904 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28692CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen E. Brown, M.D., Inc Sleep Medicine CurrentSince Apr 1, 2012 Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

2651 Elm Ave
Ste 307
Long Beach, CA 90806
Phone (562) 422-1110

4300 Long Beach Blvd
Ste 405
Long Beach, CA 90807
Phone (562) 422-1110

6475 E Pacific Coast Hwy
Long Beach, CA 90803
Phone (562) 420-1425

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1588698161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-422-1110",
            "fax_number": "562-422-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072008",
            "telephone_number": "562-422-1110",
            "fax_number": "562-422-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G28692",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G28692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.