Matthew Brown, M.D.

Key facts

NPI

1629048780

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

045529 (CT)

Practice address

17 Case St
Norwich, CT 06360-2214

Phone

(860) 886-2461

Fax

(860) 887-8530

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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.

• Day Kimball Medical Group Inc Family Medicine Physician · Putnam, CT · NPI 1376813972
  Medicare reassignment Care Compare group NPD CT · OBSTETRICS & GYNECOLOGY
• OB-GYN Services, P.C. Obstetrics & Gynecology Physician · Norwich, CT · NPI 1952483612
  Medicare reassignment Care Compare group NPD CT · OBSTETRICS & GYNECOLOGY
• United Community and Family Services, Inc. Federally Qualified Health Center (FQHC) · Norwich, CT · NPI 1467482539
  Medicare reassignment NPD CT · OBSTETRICS & GYNECOLOGY
• Windham Community Memorial Hospital, Inc. General Acute Care Hospital · Willimantic, CT · NPI 1023191467
  Medicare reassignment NPD CT
• Obhg Connecticut PC Obstetrics & Gynecology Physician · Greenville, SC · NPI 1861985129
  Medicare reassignment NPD CT · OBSTETRICS & GYNECOLOGY

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The William W Backus Hospital General Acute Care Hospital · Norwich, CT · NPI 1467517235
  Care Compare affiliation Hospital
• The William W Backus Hospital General Acute Care Hospital · Norwich, CT · NPI 1639135718
  Care Compare affiliation Hospital
• William W Backus Hospital Psychiatric Hospital Unit · Norwich, CT · NPI 1730243536
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical School at San Antonio, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB-GYN Services, P.C. (17 clinicians)
Day Kimball Medical Group Inc (91 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• William W Backus Hospital Hospital · Norwich, CT · CCN 070024

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.brown.1@1694.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2007.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1629048780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602214",
            "telephone_number": "860-886-2461",
            "fax_number": "860-887-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602214",
            "telephone_number": "860-886-2461",
            "fax_number": "860-887-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01058280A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "045529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

• Marissa Brouillard
• Manson Reuben Brow Jr.
• Vladimir A Brown-Zheltkov, M.D.
• Kaila Brown, LCSW
• Leslie N Brown, P.A.
• Rachel Hope Brown, DDS
• Shikiyah A Brown
• Timothy Dontel Brown, PT
• Shevonne Browne Sims, LPC
• Alexa Dena Bruce, PA - C

All providers in Norwich, CT · Obstetrics & Gynecology Physician in Connecticut