Individual provider Active NPI

Eric Brown, M.D.

  • Emergency Medicine Physician
  • Glendora, CA
National Provider Identifier
1619954633
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A72839 Issued in CA
Practice address
148 N Grand Ave
Glendora, CA 91741-2434
Phone
(626) 594-0478
Fax
(626) 594-0575
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 200201222 NC
Emergency Medicine Physician 207P00000X A72839 CA Primary

Addresses

Primary practice location

148 N Grand Ave
Glendora, CA 91741-2434

Mailing address

148 N Grand Ave
Glendora, CA 91741-2434
Phone (626) 594-0478

Other practice location 1

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 376-7362

Other identifiers 1

IdentifierTypeStateIssuer
89132J9MedicaidNC

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
I20161010001190 CA Practitioner - Emergency Medicine 0446340483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Urgent Care, Inc.Group PAC ID 4981992807, 4 clinicians
Brown-Hill Medical Group IncGroup PAC ID 3072989086, 3 clinicians

Practice addresses (Care Compare)

148 N Grand Ave
Glendora, CA 91741-2434
Phone (626) 594-0478

5311 W Centinela Ave
Los Angeles, CA 90045-2003
Phone (424) 317-7972

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72839CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Aug 22, 2016 Accepting new patients
Brown-Hill Medical Group, Inc. Emergency Medical Services CurrentSince Aug 1, 2022 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Brown-Hill Medical Group, Inc. CurrentSince Jun 8, 2025 Accepting new patients
Integrative Urgent Care, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients
Iredell Memorial Hospital, Incorporated Past Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients

Locations

148 N Grand Ave
Glendora, CA 91741
Phone (626) 594-0478

5311 W Centinela Ave
Los Angeles, CA 90045
Phone (310) 209-3993

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

Organizations & group practices 8

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619954633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412434",
            "telephone_number": "626-594-0478",
            "fax_number": "626-594-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412434",
            "telephone_number": "626-594-0478",
            "fax_number": "626-594-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623300",
            "country_code": "US",
            "telephone_number": "704-376-7362",
            "fax_number": "704-376-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "200201222",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A72839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132J9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.