Stacey L. Brown, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A547110 Issued in CA

Legal business name

STACEY L. BROWN, M.D.

Practice address

150 Pioneer LN
Bishop, CA 93514-2556

Phone

(760) 873-8982

Fax

(760) 873-3198

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Stacey L Brown, M.D.NPI 1629004650

Title

President

Phone

(760) 873-8982

Specialties & licenses 1

Addresses

Practitioners 2

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

• Stacey Lee Brown, MD

  • Family Medicine Physician
  • Bishop, CA
  • NPI 1629004650
  NPD (past) Authorized official
• Thomas Joseph Boo, MD

  • Family Medicine Physician
  • Bishop, CA
  • NPI 1255664124
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1720106974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935150275",
            "telephone_number": "760-873-8982",
            "fax_number": "760-873-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142556",
            "telephone_number": "760-873-8982",
            "fax_number": "760-873-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY L. BROWN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-873-8982",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A547110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spika Dental, Inc.
• Bradford Spika, D.M.D.
• Linda Jean Spoonhunter, RN
• Sports Medicine and Rehab Therapy, Inc.
• Jeanette Sprague
• Sarah Elizabeth Starosta, PA-C
• Noni Marie Steedle
• Donna L. Stephen
• Dayna Stimson
• Tom W Stockton

• Family Medicine Physician in Bishop, CA
• Providers in Bishop, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.