Active NPI
Wendy Thomas Brown, MD
- Pediatric Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 4301501891
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Dec 28, 2005
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 4301501891 | MI | Primary |
| Pediatric Radiology Physician | 2085P0229X | 0101052989 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 4301501891 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | MD.MD.70140292 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 40286 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 0101052989 | VA |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other practice location 1
1304 Fawcett Ave
Tacoma, WA 98402-1911
Phone (253) 761-4200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053398412 | Medicaid | NC | |
| P01206178 | Other | VA | RAILROAD MEDICARE |
| 5512875 | Other | VA | AETNA HEALTHCARE |
| 10110018 | Other | VA | SENTARA HEALTH PLAN |
| 1053398412 | Other | VA | TRICARE PRIME NETWORK |
| 1053398412 | Medicaid | VA | |
| 1053398412 | Other | VA | VA PREMIER HEALTH PLAN |
| 180AF | Other | NC | BCBSNC |
| 10110018 | Other | VA | OPTIMA HEALTH PLAN |
| 139178 | Other | VA | BCBSVA |
Other names 1
- Wendy Ann Thomas Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046
4137 Hermitage PT
Virginia Beach, VA 23455-4518
Phone (616) 363-7272
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 91.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301501891 | MI | MD | Diagnostic Radiology Physician |
| 40286 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Radadvantage a Professional Corporation | Pediatric Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Children's Hospital | Past | Accepting new patients |
Locations
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
600 Gresham Dr
#700
Norfolk, VA 23507
Phone (757) 668-1370
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
5544 Greenwich Rd
Ste 200
Virginia Beach, VA 23462
Interoperability endpoints
- wthomasbrown1155597@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1740283324
DC, VA
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1376719666
Pediatric Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1053398412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [
{
"address_1": "1304 Fawcett Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021911",
"country_code": "US",
"telephone_number": "253-761-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "WENDY",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MI",
"license": "4301501891",
"primary": true
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101052989",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301501891",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD.MD.70140292",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "40286",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101052989",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053398412",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01206178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "5512875",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA HEALTH PLAN",
"identifier": "10110018",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME NETWORK",
"identifier": "1053398412",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053398412",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER HEALTH PLAN",
"identifier": "1053398412",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "180AF",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "10110018",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSVA",
"identifier": "139178",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "THOMAS BROWN",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.