Jonathan Thomas Brown, MD
Individual provider Active NPI Emergency Medicine Physician · Tyler, TX
NPI 1043470040 · NPPES record last updated Sep 11, 2015
Key facts
- NPI
- 1043470040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- P0174 (TX)
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 531-4262
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Texas Emergency Physicians PLLC
Mother Frances Hospital Regional Health Care Center
Practice addresses (Care Compare)
115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671
5414 S Broadway Ave
Christus Mother Frances Hospital
Tyler, TX 75703-1335
Phone (903) 531-5010
800 E Dawson St
Tyler, TX 75701-2036
Hospital & facility affiliations
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110908001834 | TX | Practitioner - Emergency Medicine | 3375713977 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Northeast Texas Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Mother Frances Hospital Winnsboro | Past | Accepting new patients |
Locations
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | P0174 | TX | Yes |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2616977-001 | Other | TX | TRICARE |
| 8CW707 | Other | TX | BCBS |
| 283578703 | Medicaid | TX | |
| 750818167048 | Other | TX | TRICARE |
| 750818167015 | Other | TX | TRICARE |
| 8CX225 | Other | TX | BCBS |
| 75-0818167-044 | Other | TX | TRICARE |
| 75-2616977-028 | Other | TX | TRICARE |
| 283578701 | Medicaid | TX | |
| 283578702 | Medicaid | TX | |
| 283578704 | Medicaid | TX | |
| 75-0818167-022 | Other | TX | TRICARE |
| 75-2616977-002 | Other | TX | TRICARE |
| 751976930005 | Other | TX | TRICARE |
| 8EZ186 | Other | TX | BCBS |
| 8EZ185 | Other | TX | BCBS |
Other providers in Tyler, TX
- Cynthia L Brown
- Gerald L Brown
- Jana Brown
- Jeanetta Brown
- Jenna Brown
- Kamila Brown
- Katherine Anne Brown
- Kimberly Brown
- Krista Brown
- Latosha Brown
All providers in Tyler, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2015. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.