Individual provider Active NPI

Randy K. Brown, MD

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1629067202
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01055804A Issued in IN
Practice address
333 S Madison St
Muncie, IN 47305-2465
Phone
(765) 286-7000
NPI assigned
Oct 17, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 01055804A IN Primary

Addresses

Primary practice location

333 S Madison St
Muncie, IN 47305-2465

Mailing address

PO Box 1676
Muncie, IN 47308-1676
Phone (765) 286-7000

Other practice location 1

4870 E Jackson St
Muncie, IN 47303-4432
Phone (765) 284-7277

Other identifiers 2

IdentifierTypeStateIssuer
200426910MedicaidIN
000000370508OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050712000823 IN Practitioner - Family Practice 1951337831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians

Practice addresses (Care Compare)

410 Pilgrim Blvd
Hartford City, IN 47348-1382
Phone (765) 286-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Open Door Health Services, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Open Door Health Services, Inc. Current Accepting new patients
American Health Network of Indiana LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

1651 E 29th St
Muncie, IN 47302
Phone (765) 747-1164

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 254-5602

333 S Madison St
Muncie, IN 47305
Phone (765) 281-4257

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10844/brand/2/csg/21/fhir/r4
  • Direct secure messaging: randy.brown.1@10844.direct.athenahealth.com

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, 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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1629067202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081676",
            "telephone_number": "765-286-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052465",
            "telephone_number": "765-286-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4870 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473034432",
            "country_code": "US",
            "telephone_number": "765-284-7277",
            "fax_number": "765-284-7472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055804A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200426910",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000370508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.