DR. RANDAL WARREN BROWN M.D.
NPI 1376636159
Family Medicine in Santa Rosa, NM

Q: What is Randal Brown's NPI number?

The NPI number for Randal Brown is 1376636159. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Randal Brown's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Randal Brown was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since October 02, 2006PECOS Enrolled

117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435(505) 472-4311(505) 472-4313 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Randal Warren Brown M.d. NPPES

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

DR. RANDAL WARREN BROWN M.D. (NPI 1376636159) is an individual family medicine provider in Santa Rosa, New Mexico, licensed in New Mexico (93-226) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376636159

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RANDAL WARREN BROWNCredential: M.D.

Location Address117 CAMINO DE VIDA, SUITE 300Santa Rosa, NM 88435-2267

Mailing Address117 Camino De Vida, Ste 300Santa Rosa, NM 88435-2267 · (505) 472-4311 · Fax (505) 472-4313

Phone(505) 472-4311

Fax(505) 472-4313

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateApril 12, 2017

✔ NPI 1376636159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · 93-226

Definition

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.

117 CAMINO DE VIDA, Santa Rosa, NM 88435

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Other Identifiers 2

Medicare UPINF60045NM

Medicaid02871NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randal Warren Brown M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Randal Brown reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guadalupe County

Same address

Emergency Care

117 CAMINO DE VIDA, 100
Santa Rosa, NM 88435

Reassigned Medicare billing, New Mexico enrollment
31 clinicians in this Medicare group

NPI 1346249968 (575) 472-3417

Sunrise Clinics

Same address

Federally Qualified Health Center (FQHC)

117 CAMINO DE VIDA STE 300
Santa Rosa, NM 88435

Reassigned Medicare billing, New Mexico enrollment
31 clinicians in this Medicare group

NPI 1164055927 (575) 472-4311

Emergency Staffing Solutions Inc

690 mi

Emergency Medicine

240 HIGHLAND DR
Many, LA 71449

Reassigned Medicare billing, New Mexico enrollment
152 clinicians in this Medicare group

NPI 1477590974 (318) 256-5691

Ess Hospitalist LLC

742 mi

Hospitalist

1015 UNITY RD
Crossett, AR 71635

Reassigned Medicare billing, New Mexico enrollment
114 clinicians in this Medicare group

NPI 1881967305 (866) 931-8882

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88435 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MIRANDA C HALEY M.D.

Family Medicine

117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Guadalupe County (575) 472-4311

GUADALUPE COUNTY

Clinic/Center (Emergency Care)

117 CAMINO DE VIDA, 100
SANTA ROSA, NM 88435

Guadalupe County (575) 472-3417

CASSIDY RUTH HUFFMAN

Counselor (Professional)

117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Guadalupe County (575) 472-4311

ANTJE POSTL RN, CFNP

Nurse Practitioner (Family)

117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Guadalupe County (575) 472-4311

LAURA MARDO CNP

Nurse Practitioner (Family)

117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Guadalupe County (575) 472-4311

DAWN R BACK PA

Physician Assistant

117 CAMINO DE VIDA, SUITE 300
SANTA ROSA, NM 88435

Guadalupe County (575) 472-4311

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 Randal Brown's NPI number?

The NPI number for Randal Brown is 1376636159. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Randal Brown located?

Randal Brown practices at 117 Camino De Vida Suite 300, Santa Rosa, NM 88435. The listed phone number is (505) 472-4311.

What is Randal Brown's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randal Brown enrolled in Medicare?

Yes. Randal Brown is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randal Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randal Brown reassigns Medicare benefits to 4 organizations: Guadalupe County (Santa Rosa, NM), Sunrise Clinics (Santa Rosa, NM), Emergency Staffing Solutions Inc (Many, LA) and Ess Hospitalist LLC (Crossett, AR). 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 Randal Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randal Brown was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.