Malcolm McDougal Brown, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20770 Issued in NC

Practice address

1900 S Hawthorne Rd
Suite 512-a
Winston-Salem, NC 27103-3913

Phone

(336) 659-9218

Fax

(336) 659-0484

NPI assigned

Mar 24, 2006

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 5, 2016 through Feb 5, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1902866940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 512-A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-659-9218",
            "fax_number": "336-659-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "SUITE 512-A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-659-9218",
            "fax_number": "336-659-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MALCOLM",
        "middle_name": "MCDOUGAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "20770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Hammond Brown, LPC
• Kelly Brown
• Kendal Simeon Brown, LCAS
• Kimberly Evonne Brown, LCSWA
• Lauren Brooke Brown, FNP
• Marcel Gerard Brown
• Molly Brown
• Morgan P Brown, COTA/L
• Morry D. Brown, M.D.
• Nichole M Brown, RN

• Specialist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.