Active NPI
Jason Edward Brown, M.D.
- Diagnostic Radiology Physician
- Riverton, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 8042A
- Practice address
- 1001 W Main St
Riverton, WY 82501-3230 - Phone
- (307) 856-6530
- NPI assigned
- Jun 27, 2007
- Last updated
- Sep 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200868510 | Medicaid | IN | |
| P00459733 | Other | IN | RR 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01063733A | IN | MD | Diagnostic Radiology Physician |
| 8042A | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Family Sonography, LLC | Current | Accepting new patients | |
| Alaska Family Sonograms, Inc | Current | Accepting new patients | |
| Fremont Radiology, PC | Diagnostic Radiology | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Riverton, WY
- NPI 1740312495
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
- Diagnostic Ultrasound Physician
- Lander, WY
- NPI 1144660044
-
- Radiology Clinic/Center
- Anchorage, AK
- NPI 1518033281
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.