Individual provider Active NPI

Thomas Robert Brown, MD

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1851359053
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30068 Issued in CO
Practice address
1721 E 19TH Ave
Suite 404
Denver, CO 80218-1251
Phone
(303) 861-4505
Fax
(303) 861-9036
NPI assigned
May 4, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30068 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave
Suite 404
Denver, CO 80218-1251

Mailing address

1721 E 19TH Ave
Suite 404
Denver, CO 80218-1251
Phone (303) 861-4505

Other identifiers 5

IdentifierTypeStateIssuer
BR40275OtherCOBC/BS INDIVIDUAL
CO653774OtherCOBC/BS GROUP
THF2808OtherCOBC/BS GROUP
01300680MedicaidCO
BRF2818OtherCOBC/BS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040903000360 CO Practitioner - General Surgery 3375519051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30068COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates, PC Surgery PastSince Sep 4, 2007 Accepting new patients

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1851359053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE",
            "address_2": "SUITE 404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181251",
            "telephone_number": "303-861-4505",
            "fax_number": "303-861-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE",
            "address_2": "SUITE 404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181251",
            "telephone_number": "303-861-4505",
            "fax_number": "303-861-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "30068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL",
            "identifier": "BR40275",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "CO653774",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "THF2808",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01300680",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL",
            "identifier": "BRF2818",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.