Individual provider Active NPI

Eric Brown, FNP-C

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1114599644
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210596 Issued in IN
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.

Hospital & facility affiliations 1

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

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 135 clinicians

Practice addresses (Care Compare)

1824 Dorchester CT
Suite a
Goshen, IN 46526-6819
Phone (574) 534-2548

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F05210596INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Health System Inc CurrentSince Oct 9, 2022 Accepting new patients
Goshen Health System Inc CurrentSince Oct 9, 2022 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Aug 2, 2021 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Aug 2, 2021 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

  • Direct secure messaging: eric.brown@goshenhealthdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05210596 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1824 Dorchester CT
Goshen, IN 46526-6819

Mailing address

1824 Dorchester CT
Goshen, IN 46526-6819

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.