Active NPI
Deborah Lynn Allen-Brown, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1780667014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01060342A
- Practice address
- 1001 Broad Ripple Ave
Indianapolis, IN 46220-2093 - Phone
- (317) 338-4200
- NPI assigned
- Nov 21, 2005
- Last updated
- Jun 25, 2009
- Sex
- Female
- 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 | 01060342A | IN | Primary |
Addresses
Primary practice location
1001 Broad Ripple Ave
Indianapolis, IN 46220-2093
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01060342A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health Centers, Inc. | Past | Accepting new patients | |
| St. Joseph Primary Care, LLC | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension St. Vincent Kokomo Services
- Family Medicine Physician
- Kokomo, IN
- NPI 1982736377
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1639111933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1780667014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST",
"address_2": "SUITE 201",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROAD RIPPLE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202093",
"telephone_number": "317-338-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN-BROWN",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01060342A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.