Active NPI
Richard M. Brown, D.O.
- Family Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101004809
- Practice address
- 12871 E Jefferson Ave
Detroit, MI 48215-2754 - Phone
- (313) 821-3900
- Fax
- (313) 821-1511
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101004809 | MI | Primary |
Addresses
Primary practice location
12871 E Jefferson Ave
Detroit, MI 48215-2754
Mailing address
27774 Franklin Rd
Southfield, MI 48034-2352
Phone (248) 356-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3179135-11 | Medicaid | MI | |
| 3144111-11 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1960
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12871 E Jefferson Ave
Detroit, MI 48215-2754
Phone (313) 821-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Family Health Care, P.C. | Family Medicine | Current | Accepting new patients |
| Parkview Company LLC | Past | Accepting new patients |
Locations
12871 E Jefferson Ave
Detroit, MI 48215
Phone (313) 331-8484
2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500
28212 Franklin Rd
Southfield, MI 48034
27774 Franklin Rd
Southfield, MI 48034
Phone (248) 356-5555
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.
-
- Family Medicine Physician
- Detroit, MI
- NPI 1437161437
-
dba Parkview Counseling Centers
- Addiction (Substance Use Disorder) Counselor
- Detroit, MI
- NPI 1396842381
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Rehabilitation Institute of Michigan
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1801888565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27774 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342352",
"telephone_number": "248-356-5555",
"fax_number": "248-356-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12871 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152754",
"telephone_number": "313-821-3900",
"fax_number": "313-821-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "RICHARD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101004809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3179135-11",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3144111-11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.