Active NPI
Edward D Brown, MD
- Pediatrics Physician
- Ogden, UT
National Provider Identifier
1861489445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 171720-1205
- Practice address
- 4650 Harrison Blvd
Ogden, UT 84403-4303 - Phone
- (801) 475-3130
- Fax
- (801) 475-3131
- NPI assigned
- Sep 29, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 171720-1205 | UT | Primary |
Addresses
Primary practice location
4650 Harrison Blvd
Ogden, UT 84403-4303
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171720-1205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1861489445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3130",
"fax_number": "801-475-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034303",
"telephone_number": "801-475-3130",
"fax_number": "801-475-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "EDWARD",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "171720-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.