Jonathan Dwaine Brown, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Biloxi, MS
NPI 1265727465 · NPPES record last updated Sep 12, 2018
Key facts
- NPI
- 1265727465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 24921 (MS)
- Practice address
- 1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127 - Phone
- (228) 230-2663
- Fax
- (228) 546-3257
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 63
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Mississippi School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bienville Orthopaedic Specialists, LLC
Practice addresses (Care Compare)
1720 A Medical Park Dr
Suite 220
Biloxi, MS 39532-2127
Phone (228) 392-9355
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Vitalcaring Group
- Singing River Gulfport
- Memorial Hospital at Gulfport
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170728000196 | MS | Practitioner - Orthopedic Surgery | 2769776046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24921 | MS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oal Care of Al, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bienville Orthopaedic Specialists, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bienville Orthopaedic Specialists, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Cedar Lake Open MRI LLC | Past |
Accepting new patients |
Locations
1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355
15476 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 539-3232
15476 Dedeaux Rd
#B
Gulfport, MS 39503
Phone (228) 679-3001
6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263
6300 E Lake Blvd
Ste 301
Vancleave, MS 39565
102 Woodmont Blvd
Ste 350
Nashville, TN 37205
Phone (615) 297-1020
Interoperability endpoints
- msteiner@bienvilleortho.gwaydirect.com
- jbrown@bienvilleortho.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 24921 | MS | |
| Orthopaedic Surgery Physician | 207X00000X | 24921 | MS | Yes |
Addresses
Primary practice location
1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127
Mailing address
6300 East Lake Blvd.
Suite 301
Vancleave, MS 39565-6771
Phone (228) 230-2663
Other providers in Biloxi, MS
- Broadwater Dental
- Doreen Brock
- Kaileigh Brogle
- Danielle Grace Brown
- Helen Brown
- Lisa Q. Brown
- Michelle Brown
- Molly Bailey Brown
- Rachel Ann Brown
- Ryan K Broy
All providers in Biloxi, MS · Orthopaedic Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.