Individual provider Active NPI

Roger Dewey Brown, MD

  • Family Medicine Physician
  • Martinez, GA
National Provider Identifier
1740204791
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
027003 Issued in GA
Practice address
210 Oak St
Martinez, GA 30907-5139
Phone
(706) 855-1755
Fax
(706) 863-2587
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 027003 GA Primary

Addresses

Primary practice location

210 Oak St
Martinez, GA 30907-5139

Mailing address

210 Oak St
Martinez, GA 30907-5139
Phone (706) 855-1755

Other identifiers 1

IdentifierTypeStateIssuer
00292432DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@martinezurgentcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000225 GA Practitioner - Family Practice 4789767393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Oak St
Martinez, GA 30907-5139

210 Oak St N
Martinez, GA 30907-5139
Phone (706) 855-1755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027003GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinez Urgent Care CurrentSince Jul 1, 1966 Accepting new patients

Locations

210 Oak St N
Martinez, GA 30907
Phone (706) 855-1755

210 Bobby Jones Expy
Martinez, GA 30907
Phone (706) 855-1755

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1740204791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OAK ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075139",
            "telephone_number": "706-855-1755",
            "fax_number": "706-863-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OAK ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075139",
            "telephone_number": "706-855-1755",
            "fax_number": "706-863-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROGER",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "027003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00292432D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@martinezurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "210 Oak St",
            "city": "Martinez",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309075139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.