Individual provider Active NPI

Douglas Lloyd Brown, M.D.

  • Internal Medicine Physician
  • Brookfield, WI
National Provider Identifier
1700945599
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48007 Issued in WI
Practice address
17160 W North Ave Ste 202
Brookfield, WI 53005-4437
Phone
(262) 797-6770
Fax
(262) 797-6772
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48007 WI Primary

Addresses

Primary practice location

17160 W North Ave Ste 202
Brookfield, WI 53005-4437

Mailing address

17160 W North Ave Ste 202
Brookfield, WI 53005-4437
Phone (262) 797-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000501 WI Practitioner - Internal Medicine 3476555665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17160 W N Ave
Suite 202
Brookfield, WI 53005-4437
Phone (262) 797-6770

Hospital & facility affiliations

  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • St Josephs Community Hospital West Bend Hospital, West Bend, WI, CCN 520063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Lloyd Brown, M.D., S.C. Internal Medicine CurrentSince Jan 9, 2007 Accepting new patients

Locations

17160 W North Ave
Brookfield, WI 53005

17160 W North Ave
Ste 202
Brookfield, WI 53005
Phone (262) 797-6770

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1700945599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17160 W NORTH AVE STE 202",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054437",
            "telephone_number": "262-797-6770",
            "fax_number": "262-797-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17160 W NORTH AVE STE 202",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054437",
            "telephone_number": "262-797-6770",
            "fax_number": "262-797-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOUGLAS",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "48007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.