Active NPI
Steven Randall Brown, M.D.
- Pediatrics Physician
- Columbus, OH
National Provider Identifier
1730158585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-077257
- Practice address
- 4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313 - Phone
- (614) 442-5557
- Fax
- (614) 442-1070
- NPI assigned
- Mar 15, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-077257 | OH | Primary |
Addresses
Primary practice location
4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313
Mailing address
4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313
Phone (614) 442-5557
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2244155 | Medicaid | OH | |
| 311268558028 | Other | CARESOURCE | |
| 000000356505 | Other | ANTHEM | |
| 7224278 | Other | OH | AETNA HMO |
| 7224278 | Other | OH | AETNA |
| 2244155 | Other | OH | BCMH |
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 |
|---|---|---|---|
| 35-077257 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olentangy Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6860/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Columbus, OH
- NPI 1609842962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1730158585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 207",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144313",
"telephone_number": "614-442-5557",
"fax_number": "614-442-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 207",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144313",
"telephone_number": "614-442-5557",
"fax_number": "614-442-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STEVEN",
"middle_name": "RANDALL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-077257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2244155",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311268558028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000356505",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "7224278",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7224278",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "2244155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.