NPIMap

Individual provider Active NPI

Benjamin P Brown, PA-C

  • Physician Assistant
  • Paducah, KY
National Provider Identifier
1275850737
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA607 Issued in KY
Practice address
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone
(270) 442-9461
Fax
(270) 441-0079
NPI assigned
Apr 23, 2010
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA607 KY Primary

Addresses

Primary practice location

200 Clint Hill Blvd
Paducah, KY 42001-6768

Mailing address

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Other practice location 1

546 Lone Oak Rd
Paducah, KY 42003-4538
Phone (270) 441-4777

Other practice location 2

4787 Alben Barkley Dr
Paducah, KY 42001-6789
Phone (270) 442-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040303000350 KY Practitioner - Physician Assistant 5294622395 Reassigns benefits to 2 organizations
I20200723002979 IL Practitioner - Physician Assistant 5294622395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Paducah, KY 42003-7942

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.45 of 100Reported as group
Quality
50.17
Promoting interoperability
100
Improvement activities
0
Cost
74.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
West End Imaging, PLLC PastSince May 16, 2021 Accepting new patients
Mercy Health Physicians Kentucky LLC Physician Assistant Past Accepting new patients

Locations

1811 E 5th St
Metropolis, IL 62960
Phone (270) 442-9461

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

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 6

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1275850737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420034538",
            "country_code": "US",
            "telephone_number": "270-441-4777",
            "fax_number": "270-441-4780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4787 Alben Barkley Dr",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420016789",
            "country_code": "US",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.