Active NPI
Douglas M Brown, MD
- Radiation Oncology Physician
- Travese City, MI
National Provider Identifier
1851312672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 058351
- Practice address
- 1105 6TH Street
Travese City, MI 49684 - Phone
- (231) 935-7100
- Fax
- (231) 935-7126
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 058351 | MI | Primary |
Addresses
Primary practice location
1105 6TH Street
Travese City, MI 49684
Mailing address
1105 6TH Street
Travese City, MI 49684
Phone (231) 935-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4173940 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Grayling Hospital
- Paul Oliver Memorial Hospital
- Munson Healthcare Manistee Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058351 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Past | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Interoperability endpoints
- douglas.brown@mhc.direct.varian.com
Organizations & group practices 3
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.
-
dba Munson Medical Center Radiation Oncologists
- Radiation Oncology Physician
- Traverse City, MI
- NPI 1376097733
-
dba Munson Healthcare Cadillac Urology
- Urology Physician
- Cadillac, MI
- NPI 1932726577
-
dba Urgent Care-UCN
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851312672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 6TH STREET",
"city": "TRAVESE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-935-7100",
"fax_number": "231-935-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 6TH STREET",
"city": "TRAVESE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-935-7100",
"fax_number": "231-935-7126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DOUGLAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "058351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4173940",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Travese City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.