Individual provider Active NPI

Jonathan P Brower, M.D.

  • Plastic Surgery Physician
  • Providence, RI
National Provider Identifier
1255778361
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD17031 Issued in RI
Practice address
235 Plain St Ste 202
Providence, RI 02905-3241
Phone
(401) 425-5232
Fax
(401) 425-5334
NPI assigned
May 30, 2013
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 285530 MA
Plastic Surgery Physician 208200000X MD17031 RI Primary

Addresses

Primary practice location

235 Plain St Ste 202
Providence, RI 02905-3241

Mailing address

235 Plain St Ste 202
Providence, RI 02905-3241
Phone (401) 425-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190625000418 PA Practitioner - Plastic and Reconstructive Surgery 2264659192 Reassigns benefits to 1 organization
I20200624001280 RI Practitioner - Plastic and Reconstructive Surgery 2264659192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17031RIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
Jonathan P Brower MD LLC Plastic and Reconstructive Surgery CurrentSince Dec 10, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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

Interoperability endpoints

  • Direct secure messaging: jbrower@browerplasticsurgery.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1255778361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 202",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-425-5232",
            "fax_number": "401-425-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 202",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-425-5232",
            "fax_number": "401-425-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "285530",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "MD17031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.