Individual provider Active NPI

Mary Jane Brown, M.D.

  • Emergency Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1114953080
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17307 Issued in TN
Practice address
400 N Highland Ave
Murfreesboro, TN 37130-3837
Phone
(800) 596-3455
Fax
(615) 396-6963
NPI assigned
Jun 23, 2006
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17307 TN Primary

Addresses

Primary practice location

400 N Highland Ave
Murfreesboro, TN 37130-3837

Mailing address

1 Vantage Way
Suite B240
Nashville, TN 37228-1515
Phone (615) 329-4020

Other identifiers 4

IdentifierTypeStateIssuer
3089721OtherTNSTONES RIVER IPA
4040140OtherTNBLUECROSS
3029208MedicaidTN
64028186OtherTNKY MEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000967 TN Practitioner - Emergency Medicine 1850417064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2839 Hwy 231 N
Suite 101
Shelbyville, TN 37160-7448
Phone (931) 488-4014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Aug 1, 2002 Accepting new patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Dec 1, 2022 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1225 S Willow Ave
Cookeville, TN 38506
Phone (931) 284-4814

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014

Organizations & group practices 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1114953080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANTAGE WAY",
            "address_2": "SUITE B240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281515",
            "telephone_number": "615-329-4020",
            "fax_number": "615-327-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303837",
            "telephone_number": "800-596-3455",
            "fax_number": "615-396-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "17307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STONES RIVER IPA",
            "identifier": "3089721",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "4040140",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029208",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64028186",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.