Individual provider Active NPI

Patti Jo Brown, MD

  • Physical Medicine & Rehabilitation Physician
  • Reading, PA
National Provider Identifier
1194735142
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD040509E Issued in PA
Practice address
1623 Morgantown Road
Reading, PA 19607
Phone
(610) 796-6354
Fax
(610) 796-6470
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD040509E PA Primary

Addresses

Primary practice location

1623 Morgantown Road
Reading, PA 19607

Mailing address

1623 Morgantown Road
Reading, PA 19607
Phone (610) 796-6354

Other identifiers 16

IdentifierTypeStateIssuer
0542558000OtherAMERIHEALTH INC
0951043OtherAETNA
1523181OtherGATEWAY & GATEWAY MEDICAR
000706725OtherHIGHMARK BLUE SHIELD PREM
02329500OtherCAPITAL BLUE CROSS CAPITA
232737884OtherBERKSHIRE HEALTH PARTNERS
20007755OtherAMERIHEALTH MERCY
232737884OtherAMERIHEALTH ADMINISTRATOR
335169OtherHEALTH AMERICA HLTH ASSUR
0012763630001MedicaidPA
0706725OtherKEYSTONE HLTH PLAN CENTRA
0542558000OtherKEYSTONE HEALTH PLAN EAST
000000129591OtherTHREE RIVERS UNISON
0542558000OtherINDEPENDENCE BLUE CROSS
1104520OtherKEYSTONE MERCY
3919OtherGEISINGER HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101105000171 PA Practitioner - Physical Medicine and Rehabilitation 7719171560 Practice locations: Reading, PA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1194735142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 MORGANTOWN ROAD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-796-6354",
            "fax_number": "610-796-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 MORGANTOWN ROAD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-796-6354",
            "fax_number": "610-796-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATTI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD040509E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH INC",
            "identifier": "0542558000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0951043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY & GATEWAY MEDICAR",
            "identifier": "1523181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD PREM",
            "identifier": "000706725",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS CAPITA",
            "identifier": "02329500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKSHIRE HEALTH PARTNERS",
            "identifier": "232737884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20007755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "232737884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HLTH ASSUR",
            "identifier": "335169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012763630001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HLTH PLAN CENTRA",
            "identifier": "0706725",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0542558000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS UNISON",
            "identifier": "000000129591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0542558000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1104520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "3919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.