Individual provider Active NPI

Ian Brown, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1235676578
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06965 Issued in NC
Practice address
815 Oberlin Road
#200
Raleigh, NC 27605
Phone
(919) 322-4722
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 0010-06965 NC Primary

Addresses

Primary practice location

815 Oberlin Road
#200
Raleigh, NC 27605

Mailing address

815 Oberlin Road
#200
Raleigh, NC 27605
Phone (919) 322-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302000181 NC Practitioner - Physician Assistant 7810271269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06965NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Ecep II PA CurrentSince Oct 23, 2023 Accepting new patients
Duke University Affliated Physicians CurrentSince May 7, 2018 Accepting new patients
Ecep II PA CurrentSince Oct 23, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince May 7, 2018 Accepting new patients
Pender Memorial Hospital, Incorporated Past Accepting new patients

Locations

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

Organizations & group practices 7

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.

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1235676578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OBERLIN ROAD",
            "address_2": "#200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27605",
            "telephone_number": "919-322-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OBERLIN ROAD",
            "address_2": "#200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27605",
            "telephone_number": "919-322-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "IAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.