Active NPI
Timothy Roland Brown, M.D.
- Surgery Physician
- Canon City, CO
National Provider Identifier
1881633816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 28896
- Practice address
- 1335 Phay Ave Ste D
Canon City, CO 81212-2349 - Phone
- (719) 275-4061
- Fax
- (719) 275-4058
- NPI assigned
- Jun 5, 2006
- Last updated
- May 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28896 | CO | Primary |
Addresses
Primary practice location
1335 Phay Ave Ste D
Canon City, CO 81212-2349
Mailing address
PO Box 1292
Canon City, CO 81215-1292
Phone (719) 275-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06575749 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000636 | CO | Practitioner - General Surgery | 2961435540 | Practice locations: Canon City, CO |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
933 A Sell Ave
Canon City, CO 81212-1292
Phone (719) 275-4061
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.69 of 100
- Quality
- 71.4
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28896 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy R Brown MD | Current | Accepting new patients | |
| Vincent T Yu MD PC | Surgery | Past | Accepting new patients |
Locations
1335 Phay Ave
Ste D
Canon City, CO 81212
Phone (719) 269-8820
933 Sell Ave
Unit A
Canon City, CO 81212
Phone (719) 275-0685
Organizations & group practices 2
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.
-
- Specialist
- Canon City, CO
- NPI 1346449154
-
- Surgery Physician
- Canon City, CO
- NPI 1497865240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1881633816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1292",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812151292",
"telephone_number": "719-275-4061",
"fax_number": "719-275-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 PHAY AVE STE D",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122349",
"telephone_number": "719-275-4061",
"fax_number": "719-275-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIMOTHY",
"middle_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "28896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06575749",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.