NPIMap

Individual provider Active NPI

Larry D. Brown Sr., M.D.

  • Family Medicine Physician
  • Jasper, TX
National Provider Identifier
1942276605
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3189 Issued in TX
Practice address
301 Walnut Run St
Jasper, TX 75951-9729
Phone
(409) 384-1495
Fax
(409) 383-1214
NPI assigned
Feb 23, 2006
Last updated
Dec 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3189 TX Primary

Addresses

Primary practice location

301 Walnut Run St
Jasper, TX 75951-9729

Mailing address

301 Walnut Run St
Jasper, TX 75951-9729
Phone (409) 384-1495

Other identifiers 3

IdentifierTypeStateIssuer
133161610MedicaidTX
0083GNOtherBCBS
133131601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100730000874 TX Practitioner - Family Practice 0749258309 Reassigns benefits to 1 organization
Practice locations: Jasper, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep East Texas Maternal and Family Health PAGroup PAC ID 7113958539, 5 clinicians

Practice addresses (Care Compare)

315 W Houston St
Jasper, TX 75951-4002
Phone (409) 384-3430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deep East Texas Maternal & Family Health PA Family Medicine CurrentSince Jan 3, 2017 Accepting new patients
Qamar U Arfeen MD PA CurrentSince Sep 2, 2015 Accepting new patients
Clint L Hines Inc Past Accepting new patients

Locations

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

3406 College St
Ste 100
Beaumont, TX 77701

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

315 W Houston St
Jasper, TX 75951
Phone (409) 384-3430

Organizations & group practices 3

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1942276605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WALNUT RUN ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759519729",
            "telephone_number": "409-384-1495",
            "fax_number": "409-383-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WALNUT RUN ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759519729",
            "telephone_number": "409-384-1495",
            "fax_number": "409-383-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARRY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133161610",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0083GN",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133131601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.