Active NPI
Marvin R Brown, M.D.
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1922040971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G4866
- Practice address
- 400 Concord Plaza Dr
300
San Antonio, TX 78216-6905 - Phone
- (210) 593-1400
- Fax
- (210) 593-1407
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G4866 | TX | Primary |
Addresses
Primary practice location
400 Concord Plaza Dr
300
San Antonio, TX 78216-6905
Mailing address
400 Concord Plaza Dr
300
San Antonio, TX 78216-6905
Phone (210) 593-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4295140 | Other | TX | AETNA |
| 7601675 | Other | TX | CIGNA |
| 8B8390 | Other | TX | BCBS |
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, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1922040971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR",
"address_2": "300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166905",
"telephone_number": "210-593-1400",
"fax_number": "210-593-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR",
"address_2": "300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166905",
"telephone_number": "210-593-1400",
"fax_number": "210-593-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARVIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G4866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4295140",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7601675",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8B8390",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.