Active NPI
James a Brown MD PC
- Dermatology Physician
- Detroit, MI
National Provider Identifier
1659570638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- JB036646
- Legal business name
- JAMES A BROWN MD PC
- Practice address
- 22151 Moross
Suite 234
Detroit, MI 48236 - Phone
- (313) 885-5710
- Fax
- (313) 885-8755
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Arthur Brown, MD
- Title
- Owner
- Phone
- (315) 885-5110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | JB036646 | MI | Primary |
Addresses
Primary practice location
22151 Moross
Suite 234
Detroit, MI 48236
Mailing address
22151 Moross
Suite 234
Detroit, MI 48236
Phone (313) 885-5710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209945 | Medicaid | MI | |
| OP2210071 | Other | MI | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
22151 Moross Rd
Ste 234
Detroit, MI 48236
Phone (313) 885-5110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1659570638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22151 MOROSS",
"address_2": "SUITE 234",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-885-5710",
"fax_number": "313-885-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22151 MOROSS",
"address_2": "SUITE 234",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-885-5710",
"fax_number": "313-885-8755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A BROWN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-885-5110",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MI",
"license": "JB036646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209945",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OP2210071",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.