Active NPI
Eric Brown, FNP-C
- Family Nurse Practitioner
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F05210596
- Practice address
- 1824 Dorchester CT
Goshen, IN 46526-6819 - Phone
- (574) 534-2548
- NPI assigned
- Jul 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Goshen, IN
- NPI 1194772293
-
- Orthopaedic Surgery Physician
- Elkhart, IN
- NPI 1710085253
-
- Radiology Clinic/Center
- Goshen, IN
- NPI 1588190284
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- Durable Medical Equipment & Medical Supplies
- Granger, IN
- NPI 1962170357
-
- Ambulatory Surgical Clinic/Center
- Elkhart, IN
- NPI 1083715148
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Goshen Health System Inc
Practice addresses (Care Compare)
1824 Dorchester CT
Suite a
Goshen, IN 46526-6819
Phone (574) 534-2548
Hospital & facility affiliations
- Goshen Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819001532 | IN | Practitioner - Nurse Practitioner | 0648675215 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F05210596 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Hospital Association Inc | Current | Accepting new patients | |
| Goshen Health System Inc | Current | Accepting new patients | |
| Goshen Health System Inc | Current | Accepting new patients | |
| Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Current | Accepting new patients | |
| Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Current | Accepting new patients | |
| ASC Surgical Ventures, LLC | Past | Accepting new patients |
Locations
2310 California Rd
Ste A
Elkhart, IN 46514
Phone (574) 206-1401
1720 Fulton St
Elkhart, IN 46514
2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791
1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300
1824 Dorchester Ct
Ste A
Goshen, IN 46526
Phone (574) 534-2548
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
1824 Dorchester Ct
Goshen, IN 46526
Phone (219) 534-2548
1033 N Indiana Ave
Syracuse, IN 46567
Phone (574) 457-5701
Interoperability endpoints
- eric.brown@goshenhealthdirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F05210596 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1824 Dorchester CT
Goshen, IN 46526-6819
Mailing address
1824 Dorchester CT
Goshen, IN 46526-6819
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.brown@goshenhealthdirect.com | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2023.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1114599644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 DORCHESTER CT",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 DORCHESTER CT",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266819",
"telephone_number": "574-534-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ERIC",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F05210596",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.brown@goshenhealthdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1824 Dorchester Ct",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465266819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.