Individual provider Active NPI

Brian L Brown, NP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1477082337
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95006704 Issued in CA
Practice address
1827 S Court St Ste a
Visalia, CA 93277-5469
Phone
(559) 372-7390
Fax
(559) 372-7553
NPI assigned
Jun 5, 2017
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP95006704 CA Primary

Addresses

Primary practice location

1827 S Court St Ste a
Visalia, CA 93277-5469

Mailing address

PO Box 1511
Visalia, CA 93279-1511
Phone (559) 372-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170630000908 CA Practitioner - Nurse Practitioner 4880963149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverway Medical Group a Medical CorporationGroup PAC ID 6204248701, 8 clinicians

Practice addresses (Care Compare)

1827 S Court St
Suite a
Visalia, CA 93277-5469
Phone (559) 372-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95006704CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverway Medical Group a Medical Corporation Single Specialty CurrentSince Oct 14, 2020 Accepting new patients
Corning Hospital Single Specialty PastSince Nov 1, 2020 Accepting new patients

Locations

1827 S Court St
Ste A
Visalia, CA 93277
Phone (559) 372-7390

Interoperability endpoints

  • Direct secure messaging: riverway.brianbrown@156074.advancedmd-direct.com

Organizations & group practices 2

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 6

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1477082337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932791511",
            "telephone_number": "559-372-7390",
            "fax_number": "595-372-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-372-7390",
            "fax_number": "559-372-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95006704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.