Andrea Vernell Brown, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K1779 Issued in TX

Practice address

526 E Pleasant Run Rd
Desoto, TX 75115-4019

Phone

(972) 223-4420

Fax

(972) 274-1167

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1831203207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E. PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "972-223-4420",
            "fax_number": "972-274-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "972-223-4420",
            "fax_number": "972-274-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREA",
        "middle_name": "VERNELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "K1779",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "K1779",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "K1779",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "K1779",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1798340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa J Brandy, DPM
• Brighter Days HCS
• Brisbane Inc
• Brookdale Senior Living Communities, Inc.
• Brookwood Healthcare Systems, LLC
• Latosha Brown, CCC-SLP
• Rebekah Brown
• Tineshea Reshell Brown, RPH
• Cynthia Louise Lee Bursey, LCSW
• Faith Busbee, LPC

• Family Medicine Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.