Individual provider Active NPI

Todd Alma Brown, MD

  • Family Medicine Physician
  • Smithfield, UT
National Provider Identifier
1992765531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
891804041205 Issued in UT
Practice address
291 S Main St
Suite C
Smithfield, UT 84335-1902
Phone
(435) 563-6211
Fax
(435) 563-6211
NPI assigned
Mar 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 891804041205 UT Primary

Addresses

Primary practice location

291 S Main St
Suite C
Smithfield, UT 84335-1902

Mailing address

291 S Main St
Suite C
Smithfield, UT 84335-1902
Phone (435) 563-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20031107000684 UT Practitioner - Family Practice 0941112205 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
891804041205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Terrace Foundation, Inc CurrentSince Sep 30, 2023 Accepting new patients
Sunshine Terrace Foundation, Inc Family Medicine CurrentSince Sep 30, 2023 Accepting new patients

Locations

209 W 300 N
Logan, UT 84321
Phone (435) 716-8535

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992765531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "SUITE C",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843351902",
            "telephone_number": "435-563-6211",
            "fax_number": "435-563-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "SUITE C",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843351902",
            "telephone_number": "435-563-6211",
            "fax_number": "435-563-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TODD",
        "middle_name": "ALMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "891804041205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, UT

Sources for this page

Verify at the official NPI Registry.