Dr. Shannon Brown, M.D.
Dermatology in Temple, TX. Individual provider (NPI-1).
NPI number1922418482
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1922418482
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Brown
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2014
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | BP20054341 | TX | Yes |
| 207R00000X | Internal Medicine | BP10050816 | TX |
Practice location
2401 S 31st StTemple, TX 76508
Phone 254-724-2111
Mailing address
Po Box 844658Dallas, TX 75284-4658
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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