Organization Active NPI

Aline Brown M D P C

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1629288980
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D38651 Issued in OK
Legal business name
ALINE BROWN M D P C
Practice address
3400 NW Expressway St Ste 410
Oklahoma City, OK 73112-4491
Phone
(405) 945-4811
Fax
(405) 945-4812
NPI assigned
May 23, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Aline C Brown, M.D.NPI 1871594879
Title
President
Phone
(405) 945-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D38651 OK Primary

Addresses

Primary practice location

3400 NW Expressway St Ste 410
Oklahoma City, OK 73112-4491

Mailing address

3400 NW Expressway St Ste 410
Oklahoma City, OK 73112-4491
Phone (405) 945-4811

Other identifiers 1

IdentifierTypeStateIssuer
100105970AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000590 OK Part B Supplier - Clinic/Group Practice 3870670359 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3400 N West Expy
Ste 411
Oklahoma City, OK 73112
Phone (405) 945-4274

3400 NW Expressway St
Ste 410
Oklahoma City, OK 73112
Phone (405) 945-4811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1629288980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY ST STE 410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124491",
            "telephone_number": "405-945-4811",
            "fax_number": "405-945-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY ST STE 410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124491",
            "telephone_number": "405-945-4811",
            "fax_number": "405-945-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALINE BROWN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-945-4811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "D38651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100105970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.