MANUEL L. BROWN, JR. M.D. – NPI #1114052677
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MANUEL BROWN, JR. is a physician located in FAIRDALE, KY. NPPES has assigned the NPI number 1114052677 to MANUEL BROWN, JR. on February 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 9 years ago on May 05, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANUEL BROWN, JR. below.

NPI Profile for
MANUEL L. BROWN, JR.

NPI Number
1114052677
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MANUEL L. BROWN, JR.
Credentials
M.D.
Primary location
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118-9697
Phone: (812) 218-8926 Fax: (812) 218-8930
Mailing address
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone: (812) 218-8926 Fax: (812) 218-8930
Sole Proprietor
No
Updated
Identifiers

Identifiers for MANUEL BROWN, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY64167729
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
KY 16772
207QG0300X
- Family Medicine / Geriatric Medicine
KY 16772

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.