Individual provider Active NPI

Benjamin B Brown, M.N.A., B.S.N

  • Certified Registered Nurse Anesthetist
  • Jackson, MS
National Provider Identifier
1326378357
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R865628 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-1000
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R865628 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000609 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012105257 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Mississippi - University of Mississippi Medical Center 956 clinicians
Independent Healthcare Management Inc 32 clinicians

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

330 N Broad St
Forest, MS 39074-3508
Phone (601) 469-4151

Hospital & facility affiliations

  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2011 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jan 15, 2017 Accepting new patients
Northstar Anesthesia of Mississippi, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jan 15, 2017 Accepting new patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Medical Foundation of Central Ms CurrentSince May 1, 2011 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2010 Accepting new patients
Baptist Medical Clinic - Convenient Care CurrentSince May 1, 2011 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 5, 2010 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jan 15, 2017 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Current Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Apr 1, 2018 Accepting new patients
King'S Daughters Medical Center CurrentSince Dec 27, 2011 Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

160 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

2466 Flowood Dr
#A
Flowood, MS 39232
Phone (601) 326-9393

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: bbrown9451@ummc.direct-ci.com

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1326378357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.N.A., B.S.N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R865628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.