Noel Edgar Brown

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

729 S Walnut St
Marysville, OH 43040-1643

Phone

(937) 642-9555

NPI assigned

Mar 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nebbie Brown Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wingsrecoveryohio/r4/

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.

• Wings Support and Recovery

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1669940995
  NPD
• Wings Enrichment Center

  • Community/Behavioral Health Agency
  • Marysville, OH
  • NPI 1104213925
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1801424320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 BROWN MODER RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408840",
            "telephone_number": "937-243-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S WALNUT ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401643",
            "telephone_number": "937-642-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NOEL",
        "middle_name": "EDGAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEBBIE",
            "last_name": "BROWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vincent E Brinkman, MD
• Lindsey R Bronstein, APRN-CNP
• Emily Brown, PA-C
• Kaitlyn Brown, ATC
• Kimberly Rae Brown, LPN
• Taylor Brown, LSW
• Mackenzie Browning, LSW
• Andrew Bruggeman, PHARMD
• Allison Bruner
• Katelyn Bruner

• Peer Specialist in Marysville, OH
• Providers in Marysville, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.