Josephine Maria Barnds Brown, PA
Individual provider Active NPI Medical Physician Assistant · Providence, RI
NPI 1043348550 · NPPES record last updated Jul 24, 2012
Key facts
- NPI
- 1043348550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA00099 (RI)
- Practice address
- 78 Baker St
Providence, RI 02905-4417 - Phone
- (401) 781-2400
- Fax
- (401) 781-2687
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616004230 | RI | Order and Referring Only - Physician Assistant | 9830355999 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00099 | RI | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00099 | RI | Yes |
Addresses
Primary practice location
78 Baker St
Providence, RI 02905-4417
Mailing address
10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JB86765 | Medicaid | RI | |
| 302704 | Other | RI | BLUE CROSS PIN NO |
Other providers in Providence, RI
- Ross Barker
- Annaliese Barlow
- Erin Elizabeth Barlow
- Melissa Anne Barlow
- Patricia Barlow
- Jillian Mary Barnes
- Nikole Barnes
- Andrew Peter Barnett
- Shaunette Barnett
- Ryan Nolan Barnicle
All providers in Providence, RI · Medical Physician Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.