Individual provider Active NPI

Colin Brown, M.D.

  • Surgery Physician
  • Loma Linda, CA
National Provider Identifier
1780025114
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C197078 Issued in CA
Practice address
11370 Anderson St Ste 2100
Loma Linda, CA 92354
Phone
(909) 558-2822
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 70733 TN
Surgery Physician 208600000X 31736 MS
Surgery Physician 208600000X 7444063 TX
Surgery Physician 208600000X C197078 CA Primary

Addresses

Primary practice location

11370 Anderson St Ste 2100
Loma Linda, CA 92354

Mailing address

11175 Campus St RM 21111
Loma Linda, CA 92350-1700
Phone (909) 558-4286

Other practice location 1

18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone (915) 222-1824

Other practice location 2

1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544
Phone (901) 758-7970

Other practice location 3

4240 Bethel Rd Ste 200
Olive Branch, MS 38654-8737
Phone (901) 758-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, TN, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230608000153 TX Practitioner - General Surgery 6800253774 Reassigns benefits to 1 organization
I20230719000692 NM Practitioner - General Surgery 6800253774 Reassigns benefits to 1 organization
I20240312002737 TN Practitioner - General Surgery 6800253774 Reassigns benefits to 1 organization
I20240920003543 CA Practitioner - General Surgery 6800253774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000

28078 Baxter Rd
Murrieta, CA 92563-1402
Phone (909) 558-4000

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31736MSMDSurgery Physician
70733TNMDSurgery Physician
7444063TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Jun 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 17, 2023 Accepting new patients
Presbyterian Healthcare Services Surgery CurrentSince Jul 17, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Surgery Past Accepting new patients
Ut Medical Group Inc Surgery PastSince Apr 25, 2024 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

28078 Baxter Rd
Ste 510
Murrieta, CA 92563
Phone (619) 466-5700

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

Interoperability endpoints

  • Direct secure messaging: cbrown1220432@direct.llu.edu

Organizations & group practices 9

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 2

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1780025114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CAMPUS ST RM 21111",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501700",
            "telephone_number": "909-558-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 2100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18511 Highlander Medics St",
            "address_purpose": "LOCATION",
            "city": "Fort Bliss",
            "state": "TX",
            "postal_code": "799065327",
            "country_code": "US",
            "telephone_number": "915-222-1824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Eastmoreland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047544",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Bethel Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386548737",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "70733",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "31736",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "7444063",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C197078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.