Rodica Carmen Brown, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2002-0030 Issued in NM

Practice address

10409 Manzanillo Ave NE
Albuquerque, NM 87111-1724

Phone

(505) 304-4248

Fax

(505) 544-2620

NPI assigned

Sep 14, 2006

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NM

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Homebound Palliative Care

  • Geriatric Medicine (Family Medicine) Physician
  • Albuquerque, NM
  • NPI 1851976989
  NPD Authorized official
• Omni Medical Group LLC

  dba Clinica La Esperanza

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1568768042
  Medicare reassignment
• Rehabilitation Partners

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1033492673
  Medicare reassignment
• Carmen Brown LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1083090419
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1912003583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 MANZANILLO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111724",
            "telephone_number": "505-299-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MANZANILLO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111724",
            "telephone_number": "505-304-4248",
            "fax_number": "505-544-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODICA",
        "middle_name": "CARMEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2002-0030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Brown, MSN, RN, NCSN
• Nicole Brown, BCBA
• Patricia Lynn Brown, LMFT
• Pauline C Brown, CRNA
• Raychelle Jane Brown
• Ross Anthony Brown, ACNS-BC, PMHNP-BC
• Sabrina M Brown
• Scot Brown
• Scott Brown, MD
• Shanita Brown, CPSW

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.