Individual provider Active NPI

Kenneth Brown, MD

  • Emergency Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1164521084
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA04844900 Issued in NJ
Practice address
1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Phone
(856) 651-7826
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101037485 VA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MA04844900 NJ
Emergency Medicine Physician 207P00000X 25MA04844900 NJ Primary

Addresses

Primary practice location

1305 Kings Hwy N
Cherry Hill, NJ 08034-1919

Mailing address

PO Box 717
Livingston, NJ 07039-0717
Phone (973) 740-0607

Other identifiers 2

IdentifierTypeStateIssuer
1164521084MedicaidVA
3810016306MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040726000936 NJ Practitioner - Emergency Medicine 6305824293 Reassigns benefits to 1 organization
I20070411000272 VA Practitioner - Emergency Medicine 6305824293 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C. 706 clinicians

Practice addresses (Care Compare)

1500 N 28TH St
Richmond, VA 23223-5332
Phone (240) 686-2300

Hospital & facility affiliations

  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101037485VAMDEmergency Medicine Physician
25MA04844900NJMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Norfolk LLC CurrentSince Apr 30, 2025 Accepting new patients
BHG Xlii, LLC CurrentSince Feb 5, 2021 Accepting new patients
Affinity Healthcare Group Cherry Hill LLC CurrentSince Sep 1, 2021 Accepting new patients
BHG Lix, LLC CurrentSince Dec 5, 2025 Accepting new patients
BHG Lix, LLC CurrentSince Dec 5, 2025 Accepting new patients
BHG Xlii, LLC CurrentSince Jan 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2017 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2017 Accepting new patients
BHG Xli, LLC CurrentSince Feb 5, 2021 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
BHG Xlii, LLC Past Accepting new patients
Professional Emergency Care, PC Emergency Medicine Past Accepting new patients
Ehra Medical Services of Virginia, PC Emergency Medicine Past Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients
Tuckahoe Creek Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine Past Accepting new patients
Staunton Treatment Center, LLC Past Accepting new patients
Emergency Medical Metro P C Emergency Medicine Past Accepting new patients
Meadowlands Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Blue & Grey Emergency Physicians LLC Emergency Medicine Past Accepting new patients
VA-I Medical Services PC Past Accepting new patients
Dimensions Health Corporation Emergency Medicine Past Accepting new patients
Union Emergency Medical Associates LLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients

Locations

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

1305 Kings Hwy N
Cherry Hill, NJ 08034
Phone (856) 428-6451

5001 Spring Vly
Ste 600E
Dallas, TX 75244

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

109 Wimbledon Sq
Ste A
Chesapeake, VA 23320
Phone (757) 410-8244

3322 Western Branch Blvd
Ste A
Chesapeake, VA 23321
Phone (757) 673-3644

3356 Western Branch Blvd
Ste F
Chesapeake, VA 23321
Phone (214) 365-6132

109 Wimbledon Sq
Ste H
Chesapeake, VA 23320
Phone (757) 410-8244

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1333 Carrsville Hwy
Franklin, VA 23851
Phone (757) 304-9857

13100 Mountain Rd
Glen Allen, VA 23059
Phone 8042300999 ext. 224

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

6000 Jefferson Ave
#B
Newport News, VA 23605
Phone (757) 304-9857

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

5715 Princess Anne Rd
Virginia Beach, VA 23462
Phone (757) 962-0748

5715 Princess Anne Rd
#106
Virginia Beach, VA 23462
Phone (757) 962-0748

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1164521084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390717",
            "telephone_number": "973-740-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-651-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101037485",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA04844900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04844900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164521084",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016306",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.