Active NPI
Alfred Jerry Brown, MD
- Urology Physician
- Elko, NV
National Provider Identifier
1790781995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G56361
- Practice address
- 1995 Errecart Blvd Ste 207
Elko, NV 89801-8337 - Phone
- (775) 738-2600
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G56361 | CA | Primary |
Addresses
Primary practice location
1995 Errecart Blvd Ste 207
Elko, NV 89801-8337
Mailing address
1995 Errecart Blvd Ste 207
Elko, NV 89801-8337
Phone (775) 738-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G563610 | Other | CA | MEDI CAL # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20120831000081 | NV | Practitioner - Urology | 4284621715 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56361 | CA | MD | Pharmacist |
| G56361 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbert Medical Group, P.C. | Urology | Past | Accepting new patients |
Interoperability endpoints
- ojl8604@yourcarecommunity.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1790781995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 ERRECART BLVD STE 207",
"city": "ELKO",
"state": "NV",
"postal_code": "898018337",
"telephone_number": "775-738-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 ERRECART BLVD STE 207",
"city": "ELKO",
"state": "NV",
"postal_code": "898018337",
"telephone_number": "775-738-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALFRED",
"middle_name": "JERRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G56361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL #",
"identifier": "00G563610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.