TEVIN JAMAL BROWN MD
NPI 1821784133
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Tevin Brown's NPI number?

The NPI number for Tevin Brown is 1821784133. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Tevin Brown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tevin Brown was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 11, 2023PECOS Enrolled

1431 N WESTERN AVE STE 406, CHICAGO, IL 60622(312) 633-5841(312) 491-5020 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tevin Jamal Brown Md NPPES

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

TEVIN JAMAL BROWN MD (NPI 1821784133) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821784133

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTEVIN JAMAL BROWNCredential: MD

Location Address1431 N WESTERN AVE STE 406Chicago, IL 60622-1774

Mailing Address1431 N Western Ave Ste 406Chicago, IL 60622-1774 · (312) 633-5841 · Fax (312) 491-5020

Phone(312) 633-5841

Fax(312) 491-5020

Sole ProprietorNo

Enumeration DateApril 11, 2023

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1821784133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1431 N WESTERN AVE STE 406, Chicago, IL 60622

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tevin Jamal Brown Md 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.

Other Providers at the Same Location NPPES 20

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

GLORIBELL GARCIA TORRES

Family Medicine