Active NPI
Samuel Edward Brown, M.D.
- Neuroradiology Physician
- Alpharetta, GA
National Provider Identifier
1710326780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 17140
- Practice address
- 540 Owens Farm Rd
Alpharetta, GA 30004-3797 - Phone
- (404) 966-6464
- Fax
- (678) 624-9976
- NPI assigned
- Jun 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 17140 | GA | Primary |
Addresses
Primary practice location
540 Owens Farm Rd
Alpharetta, GA 30004-3797
Mailing address
540 Owens Farm Rd
Alpharetta, GA 30004-3797
Phone (404) 966-6464
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17140 | GA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Associates of Gainesville | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371859200000",
"number": "1710326780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 OWENS FARM RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300043797",
"telephone_number": "404-966-6464",
"fax_number": "678-624-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 OWENS FARM RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300043797",
"telephone_number": "404-966-6464",
"fax_number": "678-624-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SAMUEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-22",
"last_updated": "2013-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "17140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.