DR. SANDRA R. BROWN (M.D.) – Gynecology Physician, NPI 1194764449

DR. SANDRA R. BROWN (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 01027735A (IN). The NPI Number for DR. SANDRA R. BROWN (M.D.) is 1194764449

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA R. BROWN (M.D.)
NPI
1194764449
Phone
(574) 367-3800
Address
621 Memorial Dr Ste 302
Enumeration Date
5 June 2006
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5745465363
Graduation Year
1977 (49 years ago)
PAC ID
9931249208
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20091217000124
Address ID
IN465061842BR1144XSTXX401

Contacts

Secure Messaging
srbrown@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

962 OBSTETRICS/GYNECOLOGY in IN

Provider Addresses for DR. SANDRA R. BROWN (M.D.)

  • 621 Memorial Dr Ste 302

    South Bend, IN 466011073

    Phone: (574) 367-3800

    Fax: (574) 367-3801

    Type: Location

  • 100 Navarre Pl Ste 4470

    South Bend, IN 466011168

    Phone: (574) 367-3800

    Fax: (574) 367-3801

    Type: Location

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-2129

    Fax: (574) 237-6069

    Type: Mailing

  • 1144, West Plymouth Street, Bremen, Marshall County, Indiana, 46506, United States

    BREMEN, IN 465061842

    Phone: (574) 546-5363

    Fax: (574) 546-2575

    Type: Location

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $631.

Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($118).

Total Amount

$631

General + Research + Ownership

Payments

34

Total payment records

General Amount

$631

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2009-12-17

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
I20091217000124IObstetrics/GynecologyINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4032$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4040$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 46601)

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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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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Frequently asked questions

What federal number belongs to DR. SANDRA R. BROWN (M.D.)?
The federal identifier for DR. SANDRA R. BROWN (M.D.) is NPI 1194764449.
Is DR. SANDRA R. BROWN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SANDRA R. BROWN (M.D.) treat or focus on?
Patients typically see DR. SANDRA R. BROWN (M.D.) under the specialty Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SANDRA R. BROWN (M.D.)?
The page summarizes South Bend, Indiana for DR. SANDRA R. BROWN (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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