Mahogany Brown

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703108971 Issued in MI

Practice address

PO Box 806061
Saint Clair Shores, MI 48080-6061

Phone

(313) 777-8888

NPI assigned

Oct 22, 2024

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1730900762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806061",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 806061",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806061",
            "telephone_number": "313-777-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAHOGANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703108971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Brigulio, LPC
• Brock Home Care Services LLC (Right at Home)
• Allayah Brock
• Michelle Lynn Brock, M.P.T.
• Mira J Brooks, AU.D. CCC-A
• Jasmine Browning
• William Brownscombe
• Tiffany Ann Bruckner, D.O.
• Anthony Paul Brunetti, PA-C
• Shawndelin Marie Brunsman, P.A.-C

• Licensed Practical Nurse in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.