NPIMap

Individual provider Active NPI

Ethan Todd Brown, M.D.

  • Emergency Medicine Physician
  • Humble, TX
National Provider Identifier
1740204072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J6355 Issued in TX
Practice address
18951 N Memorial Dr
Humble, TX 77338-4217
Phone
(281) 540-6453
Fax
(281) 540-7393
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J6355 TX Primary

Addresses

Primary practice location

18951 N Memorial Dr
Humble, TX 77338-4217

Mailing address

1701 Hermann Dr Unit 2105
Houston, TX 77004-7363
Phone (713) 874-1825

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6355TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneruk, Inc CurrentSince Mar 1, 2020 Accepting new patients
Humble Emergency Physicains Professional Association Emergency Medicine Past Accepting new patients
Greater Texas Emergency Consultants, P.a. Emergency Medicine Past Accepting new patients
First Street Hospital, LP Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients
San Jacinto Methodist Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

25765 Katy Fwy
Katy, TX 77494
Phone (281) 395-9900

Organizations & group practices 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740204072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 HERMANN DR UNIT 2105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047363",
            "telephone_number": "713-874-1825",
            "fax_number": "281-540-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-6453",
            "fax_number": "281-540-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ETHAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J6355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.