Individual provider Active NPI

Jonathan Edward Brown, PA-C

  • Medical Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1306151634
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03658 Issued in TX
Practice address
8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559
Phone
(281) 362-7012
Fax
(281) 362-9170
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03658 TX Primary

Addresses

Primary practice location

8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559

Mailing address

8000 Research Forest Dr Ste 360
The Woodlands, TX 77382-1559
Phone (281) 362-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200304002100 TX Practitioner - Physician Assistant 8921435926 Reassigns benefits to 2 organizations
I20200402001984 AK Practitioner - Physician Assistant 8921435926 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 13, 2020 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Feb 8, 2021 Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Feb 13, 2020 Accepting new patients
Peacehealth CurrentSince Mar 6, 2020 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Feb 8, 2021 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

8000 Research Forest Dr
Ste 360
The Woodlands, TX 77382
Phone (281) 292-1191

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: jbrown432622@direct.peacehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1306151634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DR STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821559",
            "telephone_number": "281-362-7012",
            "fax_number": "281-362-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DR STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821559",
            "telephone_number": "281-362-7012",
            "fax_number": "281-362-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.