Carl Lester Brown Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0473 Issued in AK

Practice address

300 West Dimond Blvd.
Suite 12
Anchorage, AK 99515

Phone

(907) 341-7757

Fax

(907) 341-7760

NPI assigned

Oct 25, 2006

Last updated

Aug 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AK

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Urgent Care LLCGroup PAC ID 1355574484, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.brown.p1@direct.crossroadmc.nextgenshare.com

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.

• Alaska Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1518389303
  Medicare reassignment Care Compare group
• Advanced Pain Centers of Alaska, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Anchorage, AK
  • NPI 1073618583
  Medicare reassignment
• Cross Road Health Ministries, Inc.

  dba Cross Road Medical Center

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391
  Medicare reassignment
• Cross Road Health Ministries, Inc.

  dba Tok Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Tok, AK
  • NPI 1659956449
  NPD
• Robert E Gieringer MD a Professional Corporation

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1073691283
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1245315779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 LINDEN DR.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99502",
            "telephone_number": "907-243-0598",
            "fax_number": "907-243-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST DIMOND BLVD.",
            "address_2": "SUITE 12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-341-7757",
            "fax_number": "907-341-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARL",
        "middle_name": "LESTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "0473",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "0473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Brown
• Annika Brown
• April Marie Brown, IDMT
• Brady Brown, DPT
• Britany Ann Brown, LMT
• Christina C Brown
• Daniel William Brown, MD
• Danielle Brown, RN
• Demornae Elatia Brown, RBT,BCAT,CBT
• Elizabeth Lucille Brown, ANP

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.