Individual provider Active NPI

Carolyn Brown, PA-C

  • Physician Assistant
  • Coatesville, PA
National Provider Identifier
1306972203
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052646 Issued in PA
Practice address
201 Reeceville Rd
Coatesville, PA 19320-1542
Phone
(610) 383-8518
NPI assigned
Feb 26, 2007
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 MA052646 PA Primary

Addresses

Primary practice location

201 Reeceville Rd
Coatesville, PA 19320-1542

Mailing address

3961 Terrace St
Philadelphia, PA 19128-5233
Phone (267) 385-7744

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000549 PA Practitioner - Physician Assistant 4789782004 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052646PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic Company LLC CurrentSince Jun 1, 2021 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Jul 1, 2007 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Apr 1, 2015 Accepting new patients

Locations

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1306972203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 TERRACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191285233",
            "telephone_number": "267-385-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.