Gerald Brent Brown, D. D. S.

Primary specialty

DentistTaxonomy code 122300000X

License

4470 Issued in LA

Practice address

1800 W. Causeway
Suite 118
Mandeville, LA 70471-3112

Phone

(985) 626-8415

Fax

(985) 626-1928

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629161138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CAUSEWAY",
            "address_2": "SUITE 118",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713112",
            "telephone_number": "985-626-8415",
            "fax_number": "685-626-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. CAUSEWAY",
            "address_2": "SUITE 118",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713112",
            "telephone_number": "985-626-8415",
            "fax_number": "985-626-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GERALD",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Brock
• Mary Elizabeth Broussard, LOTR
• Blakely Lauren Brown-Warren, CAC
• Darrel Lee Brown, CFA PA
• Eryn McCall Brown, DC
• Joshua Brown
• Melissa M Brown, ANP-C
• Michael Brown, LMT
• Roger Timothy Brown, MD
• Jan E Bruckmeier, APRN

• Dentist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.