Individual provider Active NPI

Jeremy Preston Brown, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1366022576
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2024-00460 Issued in NC
Practice address
10628 Park Rd
Charlotte, NC 28210-8407
Phone
(704) 667-1000
NPI assigned
Apr 12, 2021
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2024-00460 NC Primary

Addresses

Primary practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

644 Blu Towns Way
Unit B
Pineville, NC 28134
Phone (956) 342-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240909001548 NC Practitioner - Emergency Medicine 5395285043 Reassigns benefits to 2 organizations
I20250113002995 TX Practitioner - Emergency Medicine 5395285043 Reassigns benefits to 6 organizations
I20250402000062 KY Practitioner - Emergency Medicine 5395285043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4100

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Wake Forest Emergency Providers CurrentSince Aug 12, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 16, 2025 Accepting new patients
Urgent Care Services Southeast PSC CurrentSince Mar 3, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Elite Hospital Partners, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 15, 2025 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

330 W Interstate 2
Weslaco, TX 78599
Phone (956) 520-3300

Interoperability endpoints

  • Direct secure messaging: jbrown2914587@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1366022576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 BLU TOWNS WAY",
            "address_2": "UNIT B",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "956-342-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEREMY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2024-00460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.