Individual provider Active NPI

Ronald David Brown, MD

  • Internal Medicine Physician
  • Cookson, OK
National Provider Identifier
1801846779
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23318 Issued in OK
Practice address
20002 E Wilderness Trce
Cookson, OK 74427-2090
Phone
(918) 200-2369
Fax
(918) 457-4889
NPI assigned
May 11, 2006
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23318 OK Primary

Addresses

Primary practice location

20002 E Wilderness Trce
Cookson, OK 74427-2090

Mailing address

20002 E Wilderness Trce
Cookson, OK 74427-2090
Phone (918) 200-2369

Other identifiers 1

IdentifierTypeStateIssuer
200089070AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000188 OK Practitioner - Internal Medicine 8921001900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8165 S Mingo Rd
Suite 100
Tulsa, OK 74133-4667
Phone (918) 387-3570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue675
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23318OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Wound Care of Muskogee PC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

8803 S 101st East Ave
Ste 160
Tulsa, OK 74133
Phone (918) 294-2100

Interoperability endpoints

  • Direct secure messaging: rbrown113470@ahs.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1801846779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20002 E WILDERNESS TRCE",
            "city": "COOKSON",
            "state": "OK",
            "postal_code": "744272090",
            "telephone_number": "918-200-2369",
            "fax_number": "918-457-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20002 E WILDERNESS TRCE",
            "city": "COOKSON",
            "state": "OK",
            "postal_code": "744272090",
            "telephone_number": "918-200-2369",
            "fax_number": "918-457-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookson, OK

Sources for this page

Verify at the official NPI Registry.