Active NPI
James E Brown Jr., MD
- Emergency Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35066900
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 436-4658
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35066900 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 436-4658
Other practice location 1
100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700
Other practice location 2
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791
Other practice location 3
6147 State Route 122
Middletown, OH 45005-5201
Phone (937) 436-4658
Other practice location 4
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 436-4658
Other practice location 5
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500
Other practice location 6
600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010
Other practice location 7
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211
Other practice location 8
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338
Other practice location 9
450 Washington Jackson Rd Ste F
Eaton, OH 45320-8699
Phone (937) 456-8376
Other practice location 10
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0982067 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090901000434 | OH | Practitioner - Emergency Medicine | 6507857422 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066900 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Greene Emergency Medical Services | Past | Accepting new patients |
Locations
2400 Lakeview Dr
#150
Beavercreek, OH 45431
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
450 Washington Jackson Rd
#F
Eaton, OH 45320
Phone (937) 456-8376
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700
8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3131 Newmark Dr
Ste 220
Miamisburg, OH 45342
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6147 State Route 122
Middletown, OH 45005
Phone (513) 261-3410
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
600 W Main St
Troy, OH 45373
Phone (937) 395-6665
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000
Organizations & group practices 6
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1366428468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 NEWMARK DR STE 220",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425400",
"telephone_number": "937-436-4658",
"fax_number": "937-436-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-436-4658"
}
],
"practiceLocations": [
{
"address_1": "100 Kettering Way",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "OH",
"postal_code": "450051155",
"country_code": "US",
"telephone_number": "937-458-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453427615",
"country_code": "US",
"telephone_number": "937-384-8791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6147 State Route 122",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055201",
"country_code": "US",
"telephone_number": "937-436-4658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Pentagon Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "937-436-4658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1141 N Monroe Dr",
"address_purpose": "LOCATION",
"city": "Xenia",
"state": "OH",
"postal_code": "453851619",
"country_code": "US",
"telephone_number": "937-352-2500",
"fax_number": "937-352-3501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732928",
"country_code": "US",
"telephone_number": "937-980-7010",
"fax_number": "937-980-7019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3211",
"fax_number": "937-723-4609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Old Troy Pike",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241066",
"country_code": "US",
"telephone_number": "937-558-3338",
"fax_number": "937-558-3349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Washington Jackson Rd Ste F",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "OH",
"postal_code": "453208699",
"country_code": "US",
"telephone_number": "937-456-8376",
"fax_number": "937-456-8377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1997 Miamisburg Centerville Rd",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593811",
"country_code": "US",
"telephone_number": "937-401-6228",
"fax_number": "937-401-6447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35066900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0982067",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.