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

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: July 26, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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