Individual provider Active NPI

Rachel Williams Brown, M.D.

  • Rheumatology Physician
  • Gulf Breeze, FL
National Provider Identifier
1629265012
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME107420 Issued in FL
Practice address
1290 Whisper Bay Blvd
Gulf Breeze, FL 32563-2677
Phone
(850) 684-3445
Fax
(850) 684-3446
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME107420 FL Primary

Addresses

Primary practice location

1290 Whisper Bay Blvd
Gulf Breeze, FL 32563-2677

Mailing address

1290 Whisper Bay Blvd
Gulf Breeze, FL 32563-2677
Phone (850) 684-3445

Other identifiers 1

IdentifierTypeStateIssuer
002797100MedicaidFL

Other names 1

  • Rachel Williams Holt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101201001232 FL Practitioner - Rheumatology 7214123223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 Whisper Bay Blvd
Gulf Breeze, FL 32563-2677
Phone (850) 684-3445

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Shores Rheumatology Inc Rheumatology CurrentSince Feb 17, 2015 Accepting new patients
Baptist Physician Enterprise LLC Rheumatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1290 Whisper Bay Blvd
Gulf Breeze, FL 32563
Phone (850) 684-3445

7552 Navarre Pkwy
Unit 54
Navarre, FL 32566
Phone (850) 460-8727

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1629265012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632677",
            "telephone_number": "850-684-3445",
            "fax_number": "850-684-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632677",
            "telephone_number": "850-684-3445",
            "fax_number": "850-684-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RACHEL",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME107420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002797100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HOLT",
            "middle_name": "WILLIAMS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.