NICOLAS DMITRI BROWN (M.D.) – Psychiatry Physician, NPI 1023243995

NICOLAS DMITRI BROWN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. MD154261 (OR). The NPI Number for NICOLAS DMITRI BROWN (M.D.) is 1023243995

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
NICOLAS DMITRI BROWN (M.D.)
NPI
1023243995
Phone
(503) 494-8211
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
21 May 2009
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
9156581511
Graduation Year
2009 (17 years ago)
PAC ID
9032387576
Group Practice PAC ID
0840103727
Professional Enrollment ID
I20160330001073
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for NICOLAS DMITRI BROWN (M.D.)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 494-8211

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-03-30

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
I20160330001073IPsychiatryTXTBD

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 97239)

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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: 0840103727View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
-TX
-TX
G A S T R O E N T E R O L O G YTX
A N E S T H E S I O L O G YTX
-TX
-TX
O P H T H A L M O L O G YTX
-TX

Reviews

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Frequently asked questions

Does NICOLAS DMITRI BROWN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLAS DMITRI BROWN (M.D.) uses 1023243995.
Can I rely on NICOLAS DMITRI BROWN (M.D.) being an active provider?
As of the registry snapshot, NICOLAS DMITRI BROWN (M.D.) is marked active.
What taxonomy line describes NICOLAS DMITRI BROWN (M.D.)?
For research purposes, treat NICOLAS DMITRI BROWN (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLAS DMITRI BROWN (M.D.) on a map?
Expect Portland, Oregon as a primary anchor for NICOLAS DMITRI BROWN (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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