DR. TIMOTHY BONITTO BROWN (M.D.) – Obstetrics & Gynecology Physician, NPI 1255392346

DR. TIMOTHY BONITTO BROWN (M.D.) is a healthcare provider. based in Riverdale, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 032110 (GA). The NPI Number for DR. TIMOTHY BONITTO BROWN (M.D.) is 1255392346

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY BONITTO BROWN (M.D.)
NPI
1255392346
Phone
(770) 991-0778
Address
83 UPPER RIVERDALE ROAD
Enumeration Date
29 March 2006
Last Update Date
14 November 2011

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6786041000
Graduation Year
1987 (39 years ago)
PAC ID
5193816957
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20070808000239
Address ID
GA302815085ST1133XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for DR. TIMOTHY BONITTO BROWN (M.D.)

  • 83, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States

    SUITE 135

    RIVERDALE, GA 30274

    Phone: (770) 991-0778

    Fax: (770) 991-7390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $851.

Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($394).

Total Amount

$851

General + Research + Ownership

Payments

29

Total payment records

General Amount

$851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070808000239IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TIMOTHY BONITTO BROWN (M.D.)'s NPI?
Yes. DR. TIMOTHY BONITTO BROWN (M.D.) is listed with NPI 1255392346 in the public NPI dataset.
Can I rely on DR. TIMOTHY BONITTO BROWN (M.D.) being an active provider?
As of the registry snapshot, DR. TIMOTHY BONITTO BROWN (M.D.) is marked active.
What is DR. TIMOTHY BONITTO BROWN (M.D.)'s specialty?
The listing groups DR. TIMOTHY BONITTO BROWN (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TIMOTHY BONITTO BROWN (M.D.)?
DR. TIMOTHY BONITTO BROWN (M.D.)'s geographic hint is Riverdale, Georgia in our summary view.
Why does DR. TIMOTHY BONITTO BROWN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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