Jason D Brotherson, A,P.R.N.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

308861-4406 Issued in UT

Practice address

1009 W 1560 S
Provo, UT 84601-5559

Phone

(801) 374-9100

NPI assigned

Nov 7, 2006

Last updated

Feb 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Anesthesia LCGroup PAC ID 5991604829, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
• Mountain View Hospital Hospital, Payson, UT, CCN 460013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mountain View Anesthesia LC

  • Anesthesiology Physician
  • Orem, UT
  • NPI 1043249840
  Medicare reassignment Care Compare group NPD

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

• Mountain View Hospital, Inc.

  dba Mountain View Hospital

  • General Acute Care Hospital
  • Payson, UT
  • NPI 1487607669
  Care Compare affiliation
• Timpanogos Regional Medical Services, Inc.

  dba Timpanogos Regional Hospital

  • General Acute Care Hospital
  • Orem, UT
  • NPI 1497702195
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1205905742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W 1560 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015559",
            "telephone_number": "801-360-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W 1560 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015559",
            "telephone_number": "801-374-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERSON",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "A,P.R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "UT",
            "license": "308861-4405",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "308861-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brooks, PH.D, J.D.
• Ashley Brooksby
• Georgia Brookstein
• Kelly Dawn Brose, LCSW
• Stephen Benjamin Brossard, SUDCI
• Molly Brotherson, PA
• Tiffany Nicole Brouwer
• Ashlee Brown-Oyler, LCSW
• Amy Catherine Brown
• Amy Nichole Brown, LCMHC LASUDC LCAS

• Certified Registered Nurse Anesthetist in Provo, UT
• Providers in Provo, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.