Individual provider Active NPI

Bruce B Brown, M.D.

  • Family Medicine Physician
  • Union City, TN
National Provider Identifier
1942280243
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9030 Issued in TN
Practice address
1412 E Reelfoot Ave
Union City, TN 38261-5813
Phone
(731) 885-5131
Fax
(731) 885-5335
NPI assigned
Jan 20, 2006
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 9030 TN Primary

Addresses

Primary practice location

1412 E Reelfoot Ave
Union City, TN 38261-5813

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000303 TN Practitioner - Family Practice 8729119946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8970 Winchester Rd
Memphis, TN 38125-8231
Phone (901) 794-5806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Jul 21, 2017 Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Feb 1, 2012 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Feb 1, 2012 Accepting new patients
The Waters of Union City LLC Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

1034 Reelfoot St
Tiptonville, TN 38079
Phone (731) 253-6681

1020 E Reelfoot Ave
Union City, TN 38261
Phone (731) 885-5131

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1412 E Reelfoot Ave
Union City, TN 38261
Phone (731) 885-5131

Interoperability endpoints

  • Direct secure messaging: bbrown4595@direct.bmhcc.org

Organizations & group practices 4

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 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1942280243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615813",
            "telephone_number": "731-885-5131",
            "fax_number": "731-885-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRUCE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "9030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.