Organization Active NPI

Jonathan P Brower MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Providence, RI
National Provider Identifier
1215540307
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JONATHAN P BROWER MD LLC
Practice address
113 Wickenden St
Providence, RI 02903-4364
Phone
(401) 453-0120
Fax
(401) 453-0198
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Jonathan P Brower, MDNPI 1255778361
Title
Owner
Phone
(201) 738-8066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

113 Wickenden St
Providence, RI 02903-4364

Mailing address

113 Wickenden St
Providence, RI 02903-4364
Phone (401) 453-0120

National Provider Directory

National Provider Directory

Locations

113 Wickenden St
Providence, RI 02903
Phone (401) 453-0120

235 Plain St
Ste 202
Providence, RI 02905
Phone (401) 425-5232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1215540307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034364",
            "telephone_number": "401-453-0120",
            "fax_number": "401-453-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034364",
            "telephone_number": "401-453-0120",
            "fax_number": "401-453-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN P BROWER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-738-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.