Catherine Brown, PA

Key facts

NPI

1124031737

Entity type

Individual (NPI type 1)

Primary specialty

Surgical Physician Assistant 363AS0400X

License

001545 (CT)

Practice address

330 Western Blvd
Glastonbury, CT 06033-4383

Phone

(860) 246-2071

Fax

(860) 633-2466

NPI assigned

Aug 14, 2006

Sex

Female

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.

• Carolinas Physicians Network Inc Orthopaedic Surgery Physician · Charlotte, NC · NPI 1437607686
  Medicare reassignment NC
• The Charlotte-Mecklenburg Hospital Authority Medical Oncology Physician · Indian Land, SC · NPI 1669738829
  Medicare reassignment NC
• Carolinas Physicians Network Inc Family Medicine Physician · Albemarle, NC · NPI 1255735312
  NPD
• Carolinas Physicians Network Inc Endocrinology, Diabetes & Metabolism Physician · Charlotte, NC · NPI 1437038544
  NPD
• The Charlotte-Mecklenburg Hospital Authority Orthopaedic Surgery Physician · Lincolnton, NC · NPI 1780915942
  NPD
• The Charlotte-Mecklenburg Hospital Authority Rehabilitation Hospital Unit · Charlotte, NC · NPI 1962987131
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrown493614@carolinashealthcaresystem.direct-ci.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2013.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1124031737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WESTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334383",
            "telephone_number": "860-246-2071",
            "fax_number": "860-633-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WESTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334383",
            "telephone_number": "860-246-2071",
            "fax_number": "860-633-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001545",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1124031737",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "010545",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Glastonbury, CT · Surgical Physician Assistant in Connecticut