Organization Active NPI

Monique Brown, MD PC

  • General Practice Physician
  • Rocky Mount, NC
National Provider Identifier
1740480888
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2007-01001 Issued in NC
Legal business name
MONIQUE BROWN, MD PC
Practice address
154 SW Main St
Rocky Mount, NC 27804-5715
Phone
(252) 937-3022
Fax
(252) 937-3021
NPI assigned
Jul 18, 2007
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Monique Brown, MDNPI 1336289636
Title
President
Phone
(252) 937-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2007-01001 NC
Psychiatry Physician 2084P0800X 0101239421 VA
Child & Adolescent Psychiatry Physician 2084P0804X 2007-01001 NC
Child & Adolescent Psychiatry Physician 2084P0804X 0101239421 VA
General Practice Physician 208D00000X 2007-01001 NC Primary

Addresses

Primary practice location

154 SW Main St
Rocky Mount, NC 27804-5715

Mailing address

154 SW Main St
Rocky Mount, NC 27804-5715
Phone (252) 937-3022

Other identifiers 1

IdentifierTypeStateIssuer
5920052MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000088 NC Part B Supplier - Clinic/Group Practice 5890880850 Receives reassigned benefits from 2 practitioners
Practice locations: Rocky Mount, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2062047Monique Brown MD, PC154 SW Main Street, Rocky Mount, NC 27804Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

112 N Circle Dr
Ste E
Rocky Mount, NC 27804
Phone (252) 937-3022

154 SW Main St
Rocky Mount, NC 27804
Phone (252) 937-3022

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1740480888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SW MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045715",
            "telephone_number": "252-937-3022",
            "fax_number": "252-937-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SW MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045715",
            "telephone_number": "252-937-3022",
            "fax_number": "252-937-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE BROWN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-937-3022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2007-01001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101239421",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2007-01001",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101239421",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2007-01001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920052",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.