Active NPI
Terry Michael Brown, DO
- Sleep Medicine (Psychiatry & Neurology) Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 036109663
- Practice address
- 8305 Express Dr Ste C
Marion, IL 62959-7771 - Phone
- (618) 993-0086
- Fax
- (618) 993-0088
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 14699 | MS | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | DO-264 | AL | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 028735 | GA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 29462 | NC | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 036109663 | IL | Primary |
Addresses
Primary practice location
8305 Express Dr Ste C
Marion, IL 62959-7771
Mailing address
PO Box 1433
Murphysboro, IL 62966-1433
Phone (618) 993-0086
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 529-0543
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00118900 | Other | IL | RAILROAD MEDICARE- PIN |
| 0723320 | Medicaid | IA | |
| 3932015 | Other | IL | BLUECROSS BLUESHIELD OF ILLINOIS |
| 208084 | Other | IL | MEDICARE- GROUP NUMBER |
| DF5180 | Other | IL | RAILROAD MEDICARE- GROUP NUMBER |
| 036109663 | Medicaid | IL | |
| 088817 | Other | IL | HEALTH ALLIANCE |
| 660328 | Other | IL | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20040316000934 | IL | Practitioner - Sleep Medicine | 8527958453 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massac Memorial Hospital
Practice addresses (Care Compare)
1204 W 10TH St
Metropolis, IL 62960-2480
Phone (618) 524-3572
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 529-0543
8305 Express Dr
Suite C
Marion, IL 62959-7771
Phone 618993008655461
PO Box
Suite 1433
Murphysboro, IL 62966-3333
Hospital & facility affiliations
- Massac Memorial Hospital
- Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-264 | AL | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
| 028735 | GA | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
| 14699 | MS | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
| 29462 | NC | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massac Memorial Hospital | Current | Accepting new patients | |
| Massac Memorial Hospital | Current | Accepting new patients | |
| Massac Memorial Hospital | Current | Accepting new patients | |
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| Massac Memorial Hospital | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Past | Accepting new patients | |
| Massac Memorial Hospital | Past | Accepting new patients | |
| Family Practice Associates, PC | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
1204 W 10th St
Ste Ab
Metropolis, IL 62960
Phone (618) 524-2176
28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680
1204 W 10th St
Ste C
Metropolis, IL 62960
Phone (618) 524-2182
1204 W 10th St
Ste A
Metropolis, IL 62960
Phone (618) 524-3572
1204 W 10th St
Ste B
Metropolis, IL 62960
Interoperability endpoints
- terrybrown@massac.medalliesdirect.net
- tbrown15591@sih.direct-ci.com
- tbrow244@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Marion, IL
- NPI 1861532608
IL
-
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1356968275
-
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1417303181
-
- Ambulance
- Metropolis, IL
- NPI 1801941968
-
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1740355809
-
- Medicare Defined Swing Bed Hospital Unit
- Metropolis, IL
- NPI 1831226901
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1861688541
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
Hospital & facility affiliations 2
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811085293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1433",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629661433",
"telephone_number": "618-993-0086",
"fax_number": "215-895-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 EXPRESS DR STE C",
"city": "MARION",
"state": "IL",
"postal_code": "629597771",
"telephone_number": "618-993-0086",
"fax_number": "618-993-0088"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-529-0543",
"fax_number": "215-895-3005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TERRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "MS",
"license": "14699",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "AL",
"license": "DO-264",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "GA",
"license": "028735",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NC",
"license": "29462",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IL",
"license": "036109663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- PIN",
"identifier": "P00118900",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0723320",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF ILLINOIS",
"identifier": "3932015",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- GROUP NUMBER",
"identifier": "208084",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- GROUP NUMBER",
"identifier": "DF5180",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109663",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "088817",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "660328",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.