Active NPI
Rodriguez Brown
- Non-emergency Medical Transport (VAN)
- Memphis, TN
National Provider Identifier
1720736127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 200 Jefferson Ave
Memphis, TN 38103-2328 - Phone
- (901) 860-1885
- NPI assigned
- Mar 15, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 079487198 | TN | |
| Meals Provider | 174200000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
200 Jefferson Ave
Memphis, TN 38103-2328
Mailing address
8486 Frieden TRL
Memphis, TN 38125-3348
Phone (901) 860-1885
Other practice location 1
8486 Frieden Trl
Memphis, TN 38125-3348
Phone (901) 860-1885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079487198 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Family LLC | Meals | Current | Accepting new patients |
Locations
200 Jefferson Ave
Memphis, TN 38103
Phone (901) 609-5635
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1720736127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8486 FRIEDEN TRL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381253348",
"telephone_number": "901-860-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032328",
"telephone_number": "901-860-1885"
}
],
"practiceLocations": [
{
"address_1": "8486 Frieden Trl",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381253348",
"country_code": "US",
"telephone_number": "901-860-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "RODRIGUEZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "079487198",
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.