Active NPI
Brian D. Brown, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106441
- Practice address
- 16420 Healthpark Commons Dr
Fort Myers, FL 33908-9621 - Phone
- (239) 985-1925
- Fax
- (239) 321-6044
- NPI assigned
- Feb 22, 2006
- Last updated
- Aug 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000440L | PA | |
| Physician Assistant | 363A00000X | MA003096L | PA | |
| Physician Assistant | 363A00000X | PA9106441 | FL | Primary |
Addresses
Primary practice location
16420 Healthpark Commons Dr
Fort Myers, FL 33908-9621
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (399) 851-9252
Other practice location 1
7335 Gladiolus Dr
Fort Myers, FL 33908-5101
Phone (239) 985-1925
Other practice location 2
16271 Bass Rd
Fort Myers, FL 33908-3616
Phone (239) 985-1925
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097540 | Other | FL | WELLCARE |
| P953872 | Other | FL | OPTIMUM |
| 004717800 | Medicaid | FL | |
| 7812955 | Other | FL | AETNA |
| P01318677 | Other | FL | RR MEDICARE |
| P1015001 | Other | FL | FREEDOM |
| Y0A80 | Other | FL | BCBS OF FL |
| 398573 | Other | FL | AVMED |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA000440L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Collier Hma Neurological Vascular Medical Group, LLC | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
16271 Bass Rd
Fort Myers, FL 33908
Phone (239) 343-7100
16420 Healthpark Commons Dr
Fort Myers, FL 33908
Phone (239) 437-6670
7335 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-6677
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- bbrown77647@direct.leememorial.org
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Critical Care Medicine (Internal Medicine) Physician
- Naples, FL
- NPI 1669064192
-
- Hospitalist Physician
- Naples, FL
- NPI 1568916492
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH - Golisano Peds BH - Quality Life Center
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1447099973
-
- Vascular & Interventional Radiology Physician
- Naples, FL
- NPI 1770880635
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Student in an Organized Health Care Education/Training Program
- Danville, PA
- NPI 1366071631
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1427023449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "399-851-9252",
"fax_number": "239-468-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16420 HEALTHPARK COMMONS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339089621",
"telephone_number": "239-985-1925",
"fax_number": "239-321-6044"
}
],
"practiceLocations": [
{
"address_1": "7335 Gladiolus Dr",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339085101",
"country_code": "US",
"telephone_number": "239-985-1925",
"fax_number": "239-321-6044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16271 Bass Rd",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339083616",
"country_code": "US",
"telephone_number": "239-985-1925",
"fax_number": "239-468-7929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "BRIAN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000440L",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA003096L",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1097540",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P953872",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004717800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7812955",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01318677",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P1015001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Y0A80",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "398573",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.
- 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.