Individual provider Active NPI

Mark Edward Brown, M.D.

  • Anesthesiology Physician
  • Hendersonville, NC
National Provider Identifier
1821037888
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34829 Issued in NC
Practice address
2619 Bearwallow Mountain Rd
Hendersonville, NC 28792-1097
Phone
(828) 685-3333
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34829 NC Primary

Addresses

Primary practice location

2619 Bearwallow Mountain Rd
Hendersonville, NC 28792-1097

Mailing address

2619 Bearwallow Mountain Rd
Hendersonville, NC 28792-1097
Phone (828) 685-3333

Other identifiers 1

IdentifierTypeStateIssuer
2183079AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110221000031 SC Practitioner - Anesthesiology 9739127390 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10461SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Anesthesia Associates Anesthesiology Past Accepting new patients
Anesthesiology Services of Anderson, PA Anesthesiology Past Accepting new patients
Loris Anesthesia and Pain Treatment, PLLC Anesthesiology Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1821037888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 BEARWALLOW MOUNTAIN RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287921097",
            "telephone_number": "828-685-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 BEARWALLOW MOUNTAIN RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287921097",
            "telephone_number": "828-685-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "34829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183079A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.