Active NPI
Emmanuel P Brown, M.D.
- Internal Medicine Physician
- Temple Hills, MD
National Provider Identifier
1841397601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0053941
- Practice address
- 4467 Old Branch Ave Ste 207
Temple Hills, MD 20748-1854 - Phone
- (301) 630-3900
- Fax
- (301) 630-3901
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD31152 | DC | |
| Internal Medicine Physician | 207R00000X | D0053941 | MD | Primary |
Addresses
Primary practice location
4467 Old Branch Ave Ste 207
Temple Hills, MD 20748-1854
Mailing address
PO Box 4593
Washington, DC 20017-0593
Phone (301) 630-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017145500 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20050119000239 | DC | Practitioner - Internal Medicine | 9739138579 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053941 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Maryland Specialty Group LLC | Internal Medicine | Past | Accepting new patients |
| Maryland Specialty Group LLC | Past | Accepting new patients | |
| Community of Hope Inc. | Past | Accepting new patients |
Interoperability endpoints
- brown.emmanuel.001.0470039@ebmp.meditab.direct-ci.com
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- Glenn Dale, MD
- NPI 1023157781
Internal Medicine
-
- Vascular Surgery Physician
- Glenn Dale, MD
- NPI 1114362845
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1801548805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1841397601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4593",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200170593",
"telephone_number": "301-630-3900",
"fax_number": "301-630-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 OLD BRANCH AVE STE 207",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481854",
"telephone_number": "301-630-3900",
"fax_number": "301-630-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "EMMANUEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD31152",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0053941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017145500",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.