Active NPI
Harold Mordecai Brown, DO
- Family Medicine Physician
- Ontario, OH
National Provider Identifier
1760486294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34005482
- Practice address
- 2003 W 4TH St
Ontario, OH 44906-1865 - Phone
- (567) 307-7860
- Fax
- (567) 307-7861
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005482 | OH | Primary |
Addresses
Primary practice location
2003 W 4TH St
Ontario, OH 44906-1865
Mailing address
700 N Columbus St
Crestline, OH 44827-1455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080079622 | Other | OH | RAILROAD MEDICARE |
| 0882522 | Medicaid | OH | |
| 000000012001 | Other | OH | ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbrown490006@direct.osumc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000024 | OH | Practitioner - Family Practice | 5890775803 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505
Hospital & facility affiliations
- Avita Ontario
- Galion Community Hospital
- Bucyrus Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005482 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Service Associates of Xenia Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- hbrown490006@direct.osumc.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Xenia, OH
- NPI 1982600862
Family Medicine
Hospital & facility affiliations 3
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": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1760486294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N COLUMBUS ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061865",
"telephone_number": "567-307-7860",
"fax_number": "567-307-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "HAROLD",
"middle_name": "MORDECAI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34005482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080079622",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0882522",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000012001",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hbrown490006@direct.osumc.edu",
"affiliation": "N",
"address_1": "2003 W 4th St",
"city": "Ontario",
"state": "OH",
"country_code": "US",
"postal_code": "449061865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.