DR. RICHARD CRAIG BROWN JR. D.O.
NPI 1235428772
Obstetrics & Gynecology in Gulf Shores, AL

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1140 GULF SHORES PARKWAY, STE A, GULF SHORES, AL 36542(251) 651-6550(251) 651-6511 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Jun 7, 2022, Sep 8, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Richard Craig Brown Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD CRAIG BROWN JR. D.O. (NPI 1235428772) is an individual obstetrics & gynecology provider in Gulf Shores, Alabama, licensed in Alabama (1235428772) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Foley, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2009).

NPPES Registry Identity

NPI1235428772
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RICHARD CRAIG BROWN JR.Credential: D.O.
Location Address1140 GULF SHORES PARKWAY, STE AGulf Shores, AL 36542
Mailing Address1140 Gulf Shores Parkway, Ste AGulf Shores, AL 36542 · (251) 651-6550 · Fax (251) 651-6511
Fax(251) 651-6511
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2009
Enumeration DateApril 5, 2011
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1235428772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in AL · 1235428772✔ Licensed in AL · DO1372
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1140 GULF SHORES PARKWAY, Gulf Shores, AL 36542

Secondary Practice Location 1

Location 11613 N McKenzie StFoley, AL 36535-2247 · Phone (251) 949-3400 · Fax (251) 949-3434

Other Identifiers 3

Medicaid02475556MS
Medicaid237187AL
Medicaid238108AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Craig Brown Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981847886
PECOS Enrollment IDI20130824000194
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1140 GULF SHORES PARKWAY, STE A
Gulf Shores, AL 36542
  • Reassigned Medicare billing, Alabama enrollment
Mental Health (Including Community Mental Health Center)
808 DOWNTOWNER LOOP W
Mobile, AL 36609
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1140 GULF SHORES PARKWAY, STE A
GULF SHORES, AL 36542
Nurse Practitioner (Women's Health)
1140 GULF SHORES PARKWAY, STE A
GULF SHORES, AL 36542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Brown's NPI number?

The NPI number for Richard Brown is 1235428772. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Richard Brown located?

Richard Brown practices at 1140 Gulf Shores Parkway Ste A, Gulf Shores, AL 36542. The listed phone number is (251) 651-6550.

What is Richard Brown's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Richard Brown enrolled in Medicare?

Yes. Richard Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Brown reassigns Medicare benefits to 2 organizations: Brown Gynecology And Surgery LLC (Gulf Shores, AL) and Bhg Lxxii, LLC (Mobile, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Brown accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Richard Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Brown was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.