Active NPI
Robert Timothy Brown, M.D.
- Pediatric Radiology Physician
- Hartford, CT
National Provider Identifier
1649256306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 033724
- Practice address
- 85 Seymour St
Suite 200
Hartford, CT 06106-5501 - Phone
- (860) 246-6589
- Fax
- (860) 560-2849
- NPI assigned
- Dec 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 55593 | MA | |
| Pediatric Radiology Physician | 2085P0229X | 033724 | CT | Primary |
Addresses
Primary practice location
85 Seymour St
Suite 200
Hartford, CT 06106-5501
Mailing address
111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001337246 | Medicaid | CT | |
| A2516306 | Other | CT | OXFORD |
| 010033724CT01 | Other | CT | ANTHEM BC/BS |
Other names 1
- R. Timothy Brown
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033724 | CT | MD | Pediatric Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1649256306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLZ",
"address_2": "SUITE 400",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083212",
"telephone_number": "860-289-3375",
"fax_number": "860-783-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-246-6589",
"fax_number": "860-560-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROBERT",
"middle_name": "TIMOTHY",
"name_prefix": "Prof.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MA",
"license": "55593",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CT",
"license": "033724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001337246",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2516306",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033724CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "BROWN",
"middle_name": "TIMOTHY",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.