Wayne O Brown, MD
Individual provider Active NPI Family Medicine Physician · Fillmore, UT
NPI 1003822909 · NPPES record last updated Jun 15, 2010
Key facts
- NPI
- 1003822909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1098541205 (UT)
- Practice address
- 700 S Highway 99
#3
Fillmore, UT 84631-5134 - Phone
- (435) 743-5555
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
674 S Hwy 99
Fillmore, UT 84631-5013
Phone (435) 743-5591
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Home Health - Mt. Pleasant
- Intermountain Health Hospice - Salt Lake
- Intermountain Health Fillmore Community Hospital
- Intermountain Health Delta Community Hospital
- Intermountain Health Utah Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000899 | UT | Practitioner - Family Practice | 7012952534 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098541205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1975 N State St
Orem, UT 84057
Phone (801) 714-5000
762 W 400 S
Springville, UT 84663
Phone (801) 429-1200
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1098541205 | UT | Yes |
Addresses
Primary practice location
700 S Highway 99
#3
Fillmore, UT 84631-5134
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 743-5555
Other providers in Fillmore, UT
- Auralcare Hearing Centers of America, LLC
- Dalton Thomas Barton
- Jonathan Scott Bassett
- Jan Bruce Beckstrand
- Jeffrey Logan Bell
- Matthew Lloyd Call
- Central Utah Mental Health Substance Abuse
- Melvin Raun Child
- Macady Chlarson
- County of Millard
All providers in Fillmore, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.