NPIMap

Individual provider Active NPI

Timothy Roger Brown, DO

  • Hospitalist Physician
  • Clinton, SC
National Provider Identifier
1902033624
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
1477 Issued in SC
Practice address
22725 Highway 76 E
Clinton, SC 29325
Phone
(864) 833-9100
NPI assigned
Jun 20, 2009
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO 1477 SC
Hospitalist Physician 208M00000X 1477 SC Primary

Addresses

Primary practice location

22725 Highway 76 E
Clinton, SC 29325

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6306

Other practice location 1

1325 Spring St
Greenwood, SC 29646
Phone (864) 725-4272

Other practice location 2

22725 Highway 76 E
Clinton, SC 29325
Phone (864) 833-9100

Other identifiers 1

IdentifierTypeStateIssuer
014772MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004001544 SC Practitioner - HospitalistPractitioner - Internal Medicine 3870812829 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1477SCMDOptometrist
DO 1477SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Nov 23, 2016 Accepting new patients
Carolina Nephrology PA CurrentSince Sep 18, 2025 Accepting new patients
Coastal Kidney Center PA CurrentSince Sep 20, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 23, 2016 Accepting new patients
Waccamaw Kidney & Hypertension Specialists,P.a. CurrentSince Aug 1, 2022 Accepting new patients

Locations

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

827 Church St
Georgetown, SC 29440
Phone (843) 546-0223

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275

Interoperability endpoints

  • Direct secure messaging: tbrown339358@directhoustonmethodist.org

Organizations & group practices 5

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1902033624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-833-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "29646",
            "country_code": "US",
            "telephone_number": "864-725-4272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22725 Highway 76 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "29325",
            "country_code": "US",
            "telephone_number": "864-833-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIMOTHY",
        "middle_name": "ROGER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "DO 1477",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014772",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.