DR. MATTHEW AUSTIN BROWN MD NPI 1174779300

NPI Information

  • NPI: 1174779300
  • Provider Name: DR. MATTHEW AUSTIN BROWN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9100 13TH RD
    MOUNTAIN GROVE, MO
    ZIP 65711
  • Phone: (417) 260-4150

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NPI Details

DR. Matthew Austin Brown, MD is a family medicine in Mountain Grove, MO with 18 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Matthew Austin Brown, MD NPI is 1174779300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

9100 13TH RD
MOUNTAIN GROVE, MO
ZIP 65711-387
Phone: (417) 260-4150

The NPI 1174779300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2008 and was last updated on 4/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2011010536MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174779300MEDICAIDMISSOURI
2205648306MEDICAIDMISSOURI
3431560263OTHERMISSOURITRICARE
4P00985958OTHERMISSOURIRR MCR
526D0889777OTHERMISSOURICLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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