Carol Denise Manchester-Brown

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

2206 QBS

Practice address

723 Virginia Ave
Alamogordo, NM 88310-6758

Phone

(575) 937-0977

Fax

(575) 257-1569

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1689804791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8032",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883558032",
            "telephone_number": "575-937-0977",
            "fax_number": "575-257-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 VIRGINIA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106758",
            "telephone_number": "575-937-0977",
            "fax_number": "575-257-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER-BROWN",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": "2206 QBS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joellyn Pauline Magoosh, BA PSYCHOLOGY, LSAA
• Heather Mahan
• Rolando Malang, PT, DPT
• Francisco Maldonado
• Melanie Maldonado
• Misty Mancillas
• Alicia Estrada Mancuso
• Martin E. Manrique, DOM
• Terry Tyrone Marquardt, OD
• Carol Marie Marquez, M.D.

• Other Specialist/Technologist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Other Specialist/Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.