Brian Brown, PAC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MP00RR5000 Issued in NJ

Practice address

2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486

Phone

(856) 691-2211

NPI assigned

Dec 28, 2015

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Princeton Bone and Joint, LLC

  • Clinic/Center
  • Plainsboro, NJ
  • NPI 1568765931
  Medicare reassignment

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1316302979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE STE 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-691-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE STE 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-691-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIAN",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MP00RR5000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Brion
• Brendaliz Bristol Martir, DMD
• Anwyn Blythe Brock, PA
• Margaret Brooks
• Yvonne Brooks, LPN
• Ciara Brown
• Sharon Brown, APN
• Tara Brown, DO
• Carrie L Bruce
• Scott Bruggeworth, D.M.D

• Pain Medicine Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.