Active NPI
Joel Ray Brown, RRT
- Home Health Certified Respiratory Therapist
- Jackson, MS
National Provider Identifier
1134473648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 44508
- Practice address
- 1500 E Woodrow Wilson Ave
90H Home Oxygen Department
Jackson, MS 39216-5116 - Phone
- (601) 364-1378
- NPI assigned
- Nov 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 44508 | MS | Primary |
Addresses
Primary practice location
1500 E Woodrow Wilson Ave
90H Home Oxygen Department
Jackson, MS 39216-5116
Mailing address
1500 E Woodrow Wilson Ave
90H Home Oxygen Department
Jackson, MS 39216-5116
Phone (601) 364-1378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44508 | MS | MD | Home Health Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1134473648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E WOODROW WILSON AVE",
"address_2": "90H HOME OXYGEN DEPARTMENT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165116",
"telephone_number": "601-364-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E WOODROW WILSON AVE",
"address_2": "90H HOME OXYGEN DEPARTMENT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165116",
"telephone_number": "601-364-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOEL",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "MS",
"license": "44508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.