Amanda Gayle Brown

M.D. | Pediatric Rheumatology | Female

---

Complete Profile:

Amanda Gayle Brown basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Rheumatology
Provider Name :	Amanda Gayle Brown
Credential :	M.D.
Gender :	Female

Business Address:

Amanda Gayle Brown address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100
Fax Number :	501-364-4082

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1821282369
NPI Entity Type :	Individual
First Enrolment Date :	28 Aug, 2007
Last Updated On :	03 Oct, 2022

Medicare Participation:

Amanda Gayle Brown participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3173793643
Medicare Enrollment ID :	I20221013001248
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2005
Accepts Medicare?	Yes. Amanda Gayle Brown accepts medicare insurance.

Group Practice Association:

Amanda Gayle Brown is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Amanda Gayle Brown is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Gayle Brown are as mentioned. Primary taxonomy code for Amanda Gayle Brown, M.D. is 2080P0216X (Pediatrics, Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	E-15718	AR
2080P0216X	Pediatrics, Pediatric Rheumatology	No	MD.202176	LA
2080P0216X	Pediatrics, Pediatric Rheumatology	Yes	E-15718	AR

Legacy Identifiers:

Other legacy medical identifiers of Amanda Gayle Brown such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
23916	MEDICAID	LA

Other Practice Locations:

Practice Address	City, State	Phone Number
200 HENRY CLAY AVE, NEW ORLEANS, LA, 70118-5720 United States	NEW ORLEANS, LA	504-896-9385

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 512-2 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1848
Fax Number :	501-364-5339

Business Location:

Patients can refer following map for directions to Amanda Gayle Brown practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.