Gina Brown, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1500988 Issued in KS

Practice address

3701 E 13TH St N BLDG 400
Wichita, KS 67208-2081

Phone

(316) 688-5020

Fax

(316) 682-1880

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gina.brown@tfmc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tanglewood Family Medical Center PA

  • Family Medicine Physician
  • Derby, KS
  • NPI 1659472306
  Medicare reassignment
• World Impact, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1023258266
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265538110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E 13TH ST N BLDG 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672082081",
            "telephone_number": "316-688-5020",
            "fax_number": "316-682-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E 13TH ST N BLDG 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672082081",
            "telephone_number": "316-688-5020",
            "fax_number": "316-682-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherelle D Brown, MS, LCMFT, LMAC
• Christina Brown, PNP
• Cor'Tavia Brown
• David James Brown II, DDS
• Emma Brown
• Heather Brown, RN
• Jennifer Brown, LMFT
• Jennifer Brown, APRN
• John Brown, MPAS, PA-C
• Julia Ashley Brown, LMSW

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.