NPIMap

Individual provider Active NPI

Matthew Dean Brown, PA-C

  • Physician Assistant
  • Fairfield, IL
National Provider Identifier
1184190829
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007282 Issued in IL
Practice address
1007 W Main St
Fairfield, IL 62837-2308
Phone
(618) 842-4470
NPI assigned
Oct 20, 2018
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.007282 IL Primary

Addresses

Primary practice location

1007 W Main St
Fairfield, IL 62837-2308

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-1624

Other practice location 1

2808 Outer Dr
Marion, IL 62959-5207
Phone (618) 993-3817

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrown37484@sih.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415001797 IL Practitioner - Physician Assistant 4789915331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.007282ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Mar 1, 2020 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Mar 1, 2020 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Physician Assistant CurrentSince Nov 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Mar 20, 2020 Accepting new patients
Southern Illinois Hospital Services Past Accepting new patients
Deaconess Illinois Clinic, Inc Past Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Past Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Physician Assistant Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

103 Commerce St
Carmi, IL 62821
Phone (618) 384-5686

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

1007 W Main St
Fairfield, IL 62837
Phone (618) 724-6612

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

2808 Outer Dr
Marion, IL 62959
Phone (618) 993-3817

3111 Broadway St
Mount Vernon, IL 62864
Phone (618) 241-0300

Interoperability endpoints

  • Direct secure messaging: matthew.brown.1@27782.direct.athenahealth.com
  • Direct secure messaging: matthew.brown@crhpc.eclinicaldirectplus.com
  • Direct secure messaging: mbrown37484@sih.direct-ci.com

Organizations & group practices 10

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": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1184190829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-1624",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W MAIN ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372308",
            "telephone_number": "618-842-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595207",
            "country_code": "US",
            "telephone_number": "618-993-3817",
            "fax_number": "618-993-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-20",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrown37484@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2808 Outer Dr",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629595207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

Verify at the official NPI Registry.