Desrene K Brown, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Bluffton, OH
NPI 1689625543 · NPPES record last updated Jul 17, 2015
Key facts
- NPI
- 1689625543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 35076441 (OH)
- Practice address
- 547 Harmon Rd
Bluffton, OH 45817 - Phone
- (419) 369-4600
- Fax
- (419) 369-4603
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
233 7TH St
Suite 303
Garden City, NY 11530-5747
Phone (419) 231-0741
547 Harmon Rd
Bluffton, OH 45817-1033
Phone (419) 369-4600
Hospital & facility affiliations
- Lima Memorial Health System
- Bluffton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, NY
- 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 |
|---|---|---|---|---|
| I20040107000201 | OH | Practitioner - Obstetrics/Gynecology | 4880593037 | Reassigns benefits to 1 organization |
| I20220428000595 | NY | Practitioner - Obstetrics/Gynecology | 4880593037 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Ohio OBGYN LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Bronx Medical Practice P.C. | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Blanchard Valley Medical Practice LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Nyc Modern Gynecology PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
1740 N Perry St
Ste B
Ottawa, OH 45875
Phone (419) 369-2341
1740 N Perry St
Ste C
Ottawa, OH 45875
Phone (419) 523-4611
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFHIDD/Endpoint/CFHIDD
- desrenebrown@noog.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35076441 | OH | Yes |
Addresses
Primary practice location
547 Harmon Rd
Bluffton, OH 45817
Mailing address
547 Harmon Rd
PO Box 129
Bluffton, OH 45817
Phone (419) 369-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BR0895734 | Other | OH | MEDICARE OTTAWA |
| 2149624 | Medicaid | OH |
Other providers in Bluffton, OH
- Bluffton Pediatrics
- Bluffton Physicians, Inc.
- Bluffton Village
- Debora Limauro Bogart
- Megan Muchelle Bowsher
- John Brutvan
- BSMH Employer Services LLC
- Lindsey Renee Buettner
- Celebration of Health Association
- Rob Ray Cremeans
All providers in Bluffton, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.