Active NPI
Donald Brownell
- Physician Assistant
- Troy, NY
National Provider Identifier
1013006493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001234
- Practice address
- 2001 5TH Ave
Troy, NY 12180-3340 - Phone
- (518) 274-9126
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001234 | NY | Primary |
Addresses
Primary practice location
2001 5TH Ave
Troy, NY 12180-3340
Mailing address
711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01271374 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | NY | MD | Social Worker |
| 001234 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1013006493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 5TH AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121803340",
"telephone_number": "518-274-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNELL",
"first_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "001234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01271374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.