Jacob Browner, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008135 Issued in CO

Practice address

300 Exempla Cir Ste 420
Lafayette, CO 80026-3496

Phone

(720) 565-6101

NPI assigned

Oct 19, 2023

Sex

Male

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.browner.1@21271.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21271/brand/1/csg/1/fhir/r4

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.

• Lafayette Pediatrics and Internal Medicine

  • Primary Care Clinic/Center
  • Lafayette, CO
  • NPI 1700184322
  Medicare reassignment NPD

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1295517746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BASSETT ST APT 708",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026192",
            "telephone_number": "216-346-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR STE 420",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263496",
            "telephone_number": "720-565-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNER",
        "first_name": "JACOB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Brown, RBT
• Lauren Brown, RBT
• Lisa-Marie Camille Brown, M.D.
• Mackenzie Brown, PSYD
• Stephen E Brown, MD
• Jaclyn Ann Brownstone
• Lynda Bruce, RN
• Carrie A Brue
• Catherine M Brummel, MD
• Mark John Brungardt, NMT

• Physician Assistant in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.