Individual provider Active NPI

Dwyanne C Brown, MD

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1346221470
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME61216 Issued in FL
Practice address
601 Manatee Ave W
Bradenton, FL 34205-8610
Phone
(941) 745-2727
Fax
(941) 745-2112
NPI assigned
Nov 7, 2005
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME61216 FL Primary

Addresses

Primary practice location

601 Manatee Ave W
Bradenton, FL 34205-8610

Mailing address

601 Manatee Ave W
Bradenton, FL 34205-8610
Phone (941) 745-2727

Other identifiers 2

IdentifierTypeStateIssuer
P00189817OtherRAILROAD MEDICARE
25194OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040116000160 FL Practitioner - Anesthesiology 3375444029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSC Anesthesia IncGroup PAC ID 7517912579, 19 clinicians

Practice addresses (Care Compare)

601 Manatee W Ave
Bradenton, FL 34205-8610
Phone (941) 745-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MSC Anesthesia Inc Anesthesiology CurrentSince Jan 1, 2005 Accepting new patients
Sarasota Anesthesiologists, PA Anesthesiology PastSince Jan 26, 2004 Accepting new patients
Bayou Anesthesia and Pain Management Associates PA Anesthesiology Past Accepting new patients
Anesthesia and Pain Physicians of Florida, PA Past Accepting new patients

Locations

601 Manatee Ave W
Bradenton, FL 34205
Phone (941) 745-2727

Organizations & group practices 4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1346221470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058610",
            "telephone_number": "941-745-2727",
            "fax_number": "941-745-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058610",
            "telephone_number": "941-745-2727",
            "fax_number": "941-745-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DWYANNE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME61216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25194",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.