Individual provider Active NPI

Matthew Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Norwich, CT
National Provider Identifier
1629048780
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
045529 Issued in CT
Practice address
17 Case St
Norwich, CT 06360-2214
Phone
(860) 886-2461
Fax
(860) 887-8530
NPI assigned
Jan 23, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01058280A IN
Obstetrics & Gynecology Physician 207V00000X 045529 CT Primary

Addresses

Primary practice location

17 Case St
Norwich, CT 06360-2214

Mailing address

17 Case St
Norwich, CT 06360-2214
Phone (860) 886-2461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080220000184 CT Practitioner - Obstetrics/Gynecology 4284718933 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 1850373077, 17 clinicians
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians

Practice addresses (Care Compare)

17 Case St
Norwich, CT 06360-2208
Phone (860) 889-2909

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045529CTMDObstetrics & Gynecology Physician
01058280AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Community Memorial Hospital, Inc. CurrentSince Nov 23, 2016 Accepting new patients
Day Kimball Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 12, 2019 Accepting new patients
United Community and Family Services, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2013 Accepting new patients
Obhg Connecticut PC Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
OB-GYN Services, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2007 Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

47 Town St
Norwich, CT 06360

800 Old Colchester Rd
Oakdale, CT 06370
Phone (860) 822-4775

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

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

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.