Individual provider Active NPI

Robert Cooper Brown, PA

  • Physician Assistant
  • Middletown, CT
National Provider Identifier
1417378019
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7026 Issued in GA
Practice address
540 Saybrook Rd Ste 100
Middletown, CT 06457-4760
Phone
(860) 358-2850
Fax
(860) 358-8698
NPI assigned
Dec 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7026 GA Primary

Addresses

Primary practice location

540 Saybrook Rd Ste 100
Middletown, CT 06457-4760

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160505000809 GA Practitioner - Physician Assistant 3577862085 Reassigns benefits to 1 organization
I20220930002649 CT Practitioner - Physician Assistant 3577862085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

30 Loeffler Rd
Bloomfield, CT 06002-2256
Phone (860) 380-5150

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7026GAMDPhysician Assistant
005771CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Mar 29, 2015 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Oct 7, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 10, 2024 Accepting new patients
MHS Primary Care Inc. Physician Assistant CurrentSince Oct 7, 2022 Accepting new patients
Emory Medical Care Foundation CurrentSince Mar 29, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 10, 2024 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Past Accepting new patients
Ear, Nose and Throat Specialists, LLC PastSince Jul 7, 2008 Accepting new patients

Locations

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

201 N Mountain Rd
Ste 201
Plainville, CT 06062
Phone (860) 223-0800

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

5 Founders St
Ste 100
Willimantic, CT 06226
Phone (860) 423-9764

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: robert.brown@xdr.hhchealthdirect.org
  • Direct secure messaging: rbrown77357@middlesexhealthprd.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 and National Provider Directory roles.

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": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1417378019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574760",
            "telephone_number": "860-358-2850",
            "fax_number": "860-358-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "COOPER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.