DR. SCOTT BRADLEY BROWN (NPI# 1679635247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679635247 |
| Entity Type | Individual |
| Full Name | DR. SCOTT BRADLEY BROWN |
| Credential | D.D.S. M.S.D. |
| Practice Address |
3555 Knickerbocker Rd San Angelo TX 76904-7610 |
| Practice Telephone | 3259428564 |
| Practice Fax Number | 3259428564 |
| Mailing Telephone | 3259428564 |
| Mailing Fax Number | 3259420134 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
13529 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866401 | Scott William Brown | Dietitian, Registered | 109 N Blue Jay Dr # 1384, Liberty, MO 64068-1906 | 2019-11-21 |
| 1154796993 | Scott Brown | Counselor | 1900 Monroe St, Toledo, OH 43604-6774 | 2015-12-04 |
| 1407269251 | Scott Aaron Brown | Chiropractor | 1600 Roosevelt Avenue, Suite A, Mount Vernon, WA 98273 | 2014-06-10 |
| 1508105479 | Scott Duncan Thomas Brown | Contractor | 10767 Brent Town Rd, Catlett, VA 20119-2409 | 2013-02-12 |
| 1255662730 | Scott Richard Brown | Psychologist | 2500 30th St Ste 202, Boulder, CO 80301 | 2010-01-22 |
| 1245366194 | Scott Brown | Dentist | 695 S Broadway Ave, Bartow, FL 33830-4615 | 2007-02-26 |
| 1851447346 | Scott Edward Brown | Pharmacist | 4324 Monroe St, Hollywood, FL 33021-7256 | 2007-01-26 |
| 1780736835 | Scott Allison Brown | Dentist | 1326 Highway 80 E, Calhoun, LA 71225-9113 | 2007-01-17 |
| 1326190059 | Scott R Brown | Chiropractor | 440 Denison St, Conway, AR 72034-6128 | 2007-01-16 |
| 1447317326 | Scott Byron Brown | Nutritionist | 2026 Belle Monti Ave, Belmont, CA 94002-1727 | 2007-01-02 |
| Street Address |
3555 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039494 | Ross A Alexander | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2005-11-08 |
| 1073990313 | Sara Elizabeth Halfmann | Pediatrics | 3555 Knickerbocker Rd, San Angelo, TX 76904 | 2015-05-06 |
| 1942620554 | West Texas Dermatology and Skin Cancer Center Pllc | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-04-22 |
| 1972929701 | Angela Clark | Nurse Anesthetist, Certified Registered | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-03-18 |
| 1831473891 | Pamela Darby | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2011-10-07 |
| 1750531539 | Jennifer Marburger | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-09-29 |
| 1386890069 | A Narasimha Rao | Psychiatry & Neurology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2008-08-13 |
| 1881875698 | Jerrie D Smithwick | Nurse Practitioner | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-11-20 |
| 1639373210 | Mark Adam Ramirez | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-06-14 |
| 1962442350 | Glenn Michael Ihde II | Surgery | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1295750206 | Kelly Koli Sawyer | Dentist | 3013 Green Meadow, San Angelo, TX 76904-6435 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.