Individual provider Active NPI

Jason Edward Brown, M.D.

  • Diagnostic Radiology Physician
  • Riverton, WY
National Provider Identifier
1255538096
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8042A Issued in WY
Practice address
1001 W Main St
Riverton, WY 82501-3230
Phone
(307) 856-6530
NPI assigned
Jun 27, 2007
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01063733A IN
Diagnostic Radiology Physician 2085R0202X 8042A WY Primary

Addresses

Primary practice location

1001 W Main St
Riverton, WY 82501-3230

Mailing address

1001 W Main St
Riverton, WY 82501-3230
Phone (307) 856-6530

Other identifiers 2

IdentifierTypeStateIssuer
200868510MedicaidIN
P00459733OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20100825000809 WY Practitioner - Diagnostic Radiology 7911099189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Radiology, PCGroup PAC ID 6002899010, 2 clinicians

Practice addresses (Care Compare)

1001 W Main St
Riverton, WY 82501-3230
Phone (307) 856-6530

112 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2141

150 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-5061

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063733AINMDDiagnostic Radiology Physician
8042AWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Family Sonography, LLC CurrentSince Aug 1, 2013 Accepting new patients
Alaska Family Sonograms, Inc CurrentSince Oct 1, 2012 Accepting new patients
Fremont Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients

Locations

3600 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508
Phone (907) 406-7962

1001 W Main St
Riverton, WY 82501
Phone (307) 856-6530

1001 W Main St
Ste 2
Riverton, WY 82501
Phone (307) 438-9844

Interoperability endpoints

  • Direct secure messaging: jbrown@hscmh.cernerdirect.com

Organizations & group practices 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1255538096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01063733A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "8042A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00459733",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.