Individual provider Active NPI

Malcolm D Brown, MD

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1811953839
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.6825 Issued in AL
Practice address
4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone
(334) 213-8804
Fax
(334) 213-8815
NPI assigned
Apr 26, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00006825 AL
Internal Medicine Physician 207R00000X MD.6825 AL Primary

Addresses

Primary practice location

4212 Carmichael CT N
Montgomery, AL 36106-3621

Mailing address

4212 Carmichael CT N
Montgomery, AL 36106-3621
Phone (334) 213-8804

Other identifiers 2

IdentifierTypeStateIssuer
009934697MedicaidAL
051051317OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100713000114 AL Practitioner - Internal Medicine 1456483379 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.6825ALMDInternal Medicine Physician
00006825ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Post-Acute Medical Service 1 PC CurrentSince May 1, 2017 Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine CurrentSince May 12, 2015 Accepting new patients
Crowne Health Care of Montgomery, LLC Past Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

300 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-4960

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1811953839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8804",
            "fax_number": "334-213-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MALCOLM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00006825",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.6825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934697",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051051317",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.