Active NPI
Stephen Romen Brown, M.D.
- Gynecology Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G-6478
- Practice address
- 2006 Moores Lane
Texarkana, TX 75503-1840 - Phone
- (903) 792-6944
- Fax
- (903) 792-6213
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G-6478 | TX | Primary |
Addresses
Primary practice location
2006 Moores Lane
Texarkana, TX 75503-1840
Mailing address
919 Hidden RDG
FL 6
Irving, TX 75038-3813
Phone (469) 282-2713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033078902 | Medicaid | TX | |
| 200966610A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G-6478 | TX | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Gynecology | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients |
Locations
919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
2006 Moores Ln
Ste B
Texarkana, TX 75503
Phone (903) 792-6944
2006 Moores Ln
Texarkana, TX 75503
Phone (903) 792-6944
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- sbrown226140@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1710986930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"address_2": "FL 6",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2713",
"fax_number": "469-282-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 MOORES LANE",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031840",
"telephone_number": "903-792-6944",
"fax_number": "903-792-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STEPHEN",
"middle_name": "ROMEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "G-6478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033078902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200966610A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.