Individual provider Active NPI

Cheryl Monet Clark-Brown, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1619000239
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6830 Issued in TX
Practice address
1033 La Posada Dr
Ste 210
Austin, TX 78752-3830
Phone
(512) 391-9700
Fax
(512) 391-9713
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6830 TX Primary

Addresses

Primary practice location

1033 La Posada Dr
Ste 210
Austin, TX 78752-3830

Mailing address

1033 La Posada Dr
Ste 210
Austin, TX 78752-3830
Phone (512) 436-9419

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
I20040609000509 TX Practitioner - Family Practice 1557344801 Reassigns benefits to 1 organization
Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1023 La Yosada Dr
Suite 210
Austin, TX 78752-3830
Phone (512) 391-9700

1033 La Posada Dr
Suite 210
Austin, TX 78752-3830
Phone (512) 391-9700

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6830TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jul 29, 2023 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jul 29, 2023 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients
City of Austin Past Accepting new patients

Locations

1033 La Posada Dr
Ste 210
Austin, TX 78752
Phone (512) 391-9700

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: cheryl.clark-brown.1@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1619000239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR",
            "address_2": "STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523830",
            "telephone_number": "512-436-9419",
            "fax_number": "512-251-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR",
            "address_2": "STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523830",
            "telephone_number": "512-391-9700",
            "fax_number": "512-391-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-BROWN",
        "first_name": "CHERYL",
        "middle_name": "MONET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.