DOUGLAS C BROWN (D.O.) – Family Medicine Physician, NPI 1033364674

DOUGLAS C BROWN (D.O.) is a healthcare provider. based in Carterville, Illinois. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 036120519 (IL). The NPI Number for DOUGLAS C BROWN (D.O.) is 1033364674

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS C BROWN (D.O.)
NPI
1033364674
Phone
(618) 519-9200
Address
109 CALIFORNIA ST
Enumeration Date
24 November 2008
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
6189975270
Graduation Year
2005 (21 years ago)
PAC ID
5496941353
Group Practice PAC ID
1658285671
Professional Enrollment ID
I20101118000510
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DOUGLAS C BROWN (D.O.)

  • 109, California Street, Carterville, Williamson County, Illinois, 62918, United States

    PO BOX 577

    CARTERVILLE, IL 619180577

    Phone: (618) 519-9200

    Fax: (618) 985-4635

    Type: Mailing

  • 1506, Sioux Drive, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629595209

    Phone: (618) 519-9200

    Fax: (618) 985-9155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($19).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

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: 2010-11-18

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
I20101118000510IFamily PracticeILTBD

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 61918)

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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: 1658285671View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Internal MedicineNJ
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm DOUGLAS C BROWN (D.O.)'s NPI?
Yes. DOUGLAS C BROWN (D.O.) is listed with NPI 1033364674 in the public NPI dataset.
Is DOUGLAS C BROWN (D.O.) still practicing?
DOUGLAS C BROWN (D.O.) is currently listed as active in the public NPI registry.
What is DOUGLAS C BROWN (D.O.) best known for clinically?
Directory data describes DOUGLAS C BROWN (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DOUGLAS C BROWN (D.O.) list a practice location?
Patients near Carterville, Illinois may find DOUGLAS C BROWN (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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