Individual provider Active NPI

Michael Eric Brown Jr., ACNPC-AG

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1639967490
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
323282 Issued in AZ
Practice address
9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463
Phone
(480) 999-4954
Fax
(480) 999-4712
NPI assigned
Apr 30, 2025
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN209649 AZ
Acute Care Nurse Practitioner 363LA2100X 323282 AZ Primary

Addresses

Primary practice location

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463

Mailing address

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463
Phone (480) 999-4954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305004390 AZ Practitioner - Nurse Practitioner 8729560917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9200 N Central Ave
Suite 2
Phoenix, AZ 85020-2463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
323282AZMDAcute Care Nurse Practitioner
RN209649AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alveo LC CurrentSince Jan 21, 2026 Accepting new patients
Unomed LLC CurrentSince Jan 21, 2026 Accepting new patients
Signify Health, LLC PastSince Jan 21, 2026 Accepting new patients

Locations

9200 N Central Ave
Ste 3
Phoenix, AZ 85020
Phone (602) 242-0299

9200 N Central Ave
Ste 2
Phoenix, AZ 85020
Phone (480) 999-4954

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1639967490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "RN209649",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "323282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.