Individual provider Active NPI

Ingrid Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Round Rock, TX
National Provider Identifier
1700917580
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M7062 Issued in TX
Practice address
4112 Links Lane Suite 205
Round Rock, TX 78664
Phone
(512) 255-7762
Fax
(866) 571-3565
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 050944 GA
Obstetrics & Gynecology Physician 207V00000X M7062 TX Primary

Addresses

Primary practice location

4112 Links Lane Suite 205
Round Rock, TX 78664

Mailing address

1490 Rusk Rd.
Ste. 202
Round Rock, TX 78665-3306
Phone (512) 255-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050944GAMDObstetrics & Gynecology Physician
M7062TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Oct 8, 2023 Accepting new patients
Round Rock OBGYN PA Obstetrics & Gynecology PastSince Jun 1, 2007 Accepting new patients
Sandeep G. Mistry, MD, PA Past Accepting new patients

Locations

1490 Rusk Rd
Ste 202
Round Rock, TX 78665
Phone (512) 255-7762

Interoperability endpoints

  • Direct secure messaging: ingrid.brown.1@11541.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11541/brand/42/csg/541/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1700917580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 RUSK RD.",
            "address_2": "STE. 202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653306",
            "telephone_number": "512-255-7762",
            "fax_number": "512-255-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LINKS LANE SUITE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-255-7762",
            "fax_number": "866-571-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INGRID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "050944",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.