Todd Alma Brown, MD
Individual provider Active NPI Family Medicine Physician · Smithfield, UT
NPI 1992765531 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992765531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 891804041205 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031107000684 | UT | Practitioner - Family Practice | 0941112205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891804041205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Terrace Foundation, Inc | Family Medicine | Current |
Accepting new patients |
| Sunshine Terrace Foundation, Inc | Current |
Accepting new patients |
Locations
209 W 300 N
Logan, UT 84321
Phone (435) 716-8535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 891804041205 | UT | Yes |
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
Other providers in Smithfield, UT
- Kyle Wayne Beck
- John Berryhill
- Parker Rey Beus
- Blackwell Infinity Health
- Nathan Broschinsky
- Jordan Campbell
- Curtis Steven Cazier
- Wyatt Lynn Christensen
- Sarah Clark
- Community Birth Group
All providers in Smithfield, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.