Active NPI
Alton G Brown Jr., M.D.
- Surgery Physician
- Charleston, SC
National Provider Identifier
1639281975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6048
- Practice address
- 510 Albemarle Rd
Charleston, SC 29407-7540 - Phone
- (843) 723-6426
- Fax
- (843) 722-2193
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6048 | SC | Primary |
Addresses
Primary practice location
510 Albemarle Rd
Charleston, SC 29407-7540
Mailing address
510 Albemarle Rd
Charleston, SC 29407-7540
Phone (843) 723-6426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060481 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6048 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Charleston, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Charleston, SC
- NPI 1376528950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1639281975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 ALBEMARLE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077540",
"telephone_number": "843-723-6426",
"fax_number": "843-722-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 ALBEMARLE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077540",
"telephone_number": "843-723-6426",
"fax_number": "843-722-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALTON",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "6048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060481",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.