NPIMap

Individual provider Active NPI

Chris H Brown, PA-C

  • Urology Physician
  • Lubbock, TX
National Provider Identifier
1104877554
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
PA00113 Issued in TX
Practice address
6102 82ND St
Suite 5
Lubbock, TX 79424-0802
Phone
(806) 771-0077
Fax
(806) 771-3175
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X PA00113 TX Primary

Addresses

Primary practice location

6102 82ND St
Suite 5
Lubbock, TX 79424-0802

Mailing address

PO Box 93005
Lubbock, TX 79493-3005
Phone (806) 771-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000084 TX Practitioner - Physician Assistant 6901802560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Urology Clinic, LLPGroup PAC ID 9436122934, 9 clinicians

Practice addresses (Care Compare)

6102 82ND St
Suite 5
Lubbock, TX 79424-0803
Phone (806) 771-0077

Hospital & facility affiliations

  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Mitchell County Hospital District Hospital, Colorado City, TX, CCN 451342
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: chris.brown@direct.myteamcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1104877554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93005",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794933005",
            "telephone_number": "806-771-0077",
            "fax_number": "806-771-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST",
            "address_2": "SUITE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240802",
            "telephone_number": "806-771-0077",
            "fax_number": "806-771-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRIS",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "PA00113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.