Individual provider Active NPI

Avrom Stewart Brown, D.O.

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1285963801
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003255L Issued in PA
Practice address
8304 Cedar Rd
Elkins Park, PA 19027-2102
Phone
(215) 913-7892
Fax
(215) 782-8983
NPI assigned
Dec 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003255L PA Primary
Pain Medicine Physician 208VP0000X OS003255L PA

Addresses

Primary practice location

8304 Cedar Rd
Elkins Park, PA 19027-2102

Mailing address

8304 Cedar Rd
Elkins Park, PA 19027-2102
Phone (215) 913-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140612000124 PA Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Pain Management 9830313972

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1285963801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 CEDAR RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272102",
            "telephone_number": "215-913-7892",
            "fax_number": "215-782-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 CEDAR RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272102",
            "telephone_number": "215-913-7892",
            "fax_number": "215-782-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AVROM",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003255L",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "OS003255L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.