Individual provider Active NPI

Alexander Brown

  • Surgical Physician Assistant
  • Dublin, CA
National Provider Identifier
1114741139
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4000 Dublin Blvd Ste 100
Dublin, CA 94568-3122
Phone
(800) 943-8099
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

4000 Dublin Blvd Ste 100
Dublin, CA 94568-3122

Mailing address

4000 Dublin Blvd Ste 100
Dublin, CA 94568-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002183 CA Practitioner - Physician Assistant 1759811052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Jan 21, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 21, 2025 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: alexander.brown.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1114741139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 DUBLIN BLVD STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DUBLIN BLVD STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683122",
            "telephone_number": "800-943-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.