William Christopher Brown, M.D.
Individual provider Active NPI Specialist · Old Greenwich, CT
NPI 1679519979 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1679519979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 31641 (CT)
- Practice address
- 1385 E Putnam Ave
Old Greenwich, CT 06870-1305 - Phone
- (203) 863-1180
- Fax
- (203) 863-1182
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000396 | CT | Practitioner - Urology | 5799684049 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31641 | CT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwich Hospital | Current |
Accepting new patients | |
| Greenwich Hospital | Current |
Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471
Interoperability endpoints
- william.brown.1@21577.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31641 | CT | Yes |
Addresses
Primary practice location
1385 E Putnam Ave
Old Greenwich, CT 06870-1305
Mailing address
1385 E Putnam Ave
Old Greenwich, CT 06870-1305
Phone (203) 863-1180
Other providers in Old Greenwich, CT
- Francine Blinten
- Lisa Bologna
- Elizabeth Boylan
- Susan Schlussel Braun
- Jacqueline Nicole Britt-Friedman
- Monica Dionisio Canlas
- Alison M. Cass
- CBT/DBT Center of Greenwich, LLC
- Paola Cerruto
- George N Chapar
All providers in Old Greenwich, CT · Specialist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.