Harris Radcliff Brown, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3572 Issued in AL

Practice address

505 Georgian Dr
Ste a
Mobile, AL 36609

Phone

(251) 342-1644

Fax

(251) 342-1648

NPI assigned

Sep 27, 2006

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lauren a Metzger DMD PC

  dba CoastalPeriodontics & Implant Dentistry

  • Periodontics
  • Mobile, AL
  • NPI 1619068822
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1851482061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GEORGIAN DR",
            "address_2": "STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-342-1644",
            "fax_number": "251-342-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GEORGIAN DR",
            "address_2": "STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-342-1644",
            "fax_number": "251-342-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HARRIS",
        "middle_name": "RADCLIFF",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "515-18104",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "421537",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris J.W. Brown, DR. PHD
• Erryn Dailey Brown, PHARM.D.
• Gidget Renee Brown, M.S., CCC-SLP
• Hannah Brown, RN, BSN, CDE
• Harris Radcliff Brown Jr., DMD
• Jay Andrew Brown, M.D.
• Jeremy Craig Brown, DO
• Katria B Brown
• Kiara Janay Brown
• Kimberly Whittington Brown, R.N.

• Periodontics in Mobile, AL
• Providers in Mobile, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.