NPIMap

Organization Active NPI

Kerry M. Brown, M.D. Apmc

  • Retina Specialist (Ophthalmology) Physician
  • Abbeville, LA
National Provider Identifier
1699862839
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
16581 Issued in LA
Legal business name
KERRY M. BROWN, M.D. APMC
Practice address
204 N Magdalen SQ
Abbeville, LA 70510-4645
Phone
(337) 289-8972
Fax
(337) 289-8970
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Kerry M Brown, MDNPI 1306818612
Title
Owner
Phone
(337) 893-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X 16581 LA Primary

Addresses

Primary practice location

204 N Magdalen SQ
Abbeville, LA 70510-4645

Mailing address

204 N. Magdalen Square
Abbeville, LA 70510-7645
Phone (337) 893-4452

Other identifiers 2

IdentifierTypeStateIssuer
436726940AOtherLABLUE CROSS
1331210MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050929000429 LA Part B Supplier - Clinic/Group Practice 0941235865 Receives reassigned benefits from 1 practitioner
Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1699862839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. MAGDALEN SQUARE",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705107645",
            "telephone_number": "337-893-4452",
            "fax_number": "337-893-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAGDALEN SQ",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104645",
            "telephone_number": "337-289-8972",
            "fax_number": "337-289-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY M. BROWN, M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-893-4452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "LA",
            "license": "16581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "436726940A",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.