Active NPI
Evan G. Brown, DO
- Hospitalist Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DOS-1221
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1053778217
HI, Internal Medicine
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
Hospitalist, WA
-
- Rural Health Clinic/Center
- Montesano, WA
- NPI 1083084677
-
- Rural Health Clinic/Center
- Hoquiam, WA
- NPI 1376028373
-
- Rural Health Clinic/Center
- Westport, WA
- NPI 1417733452
-
- Rural Health Clinic/Center
- Aberdeen, WA
- NPI 1821573965
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1881735462
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Traverse Physician Services PCHawaii Permanente Medical Group IncGrays Harbor Community Hospital
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
Hospital & facility affiliations
- Grays Harbor Community Hospital
- Maui Memorial Medical Center
- Munson Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, HI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130628000208 | WA | Practitioner - Internal Medicine | 7113104530 | Reassigns benefits to 3 organizations |
| I20230203001109 | HI | Practitioner - Hospitalist | 7113104530 | Reassigns benefits to 2 organizations |
| I20260625001365 | MI | Practitioner - Internal Medicine | 7113104530 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1221 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Grays Harbor Surgeons | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Midpacific Hospitalists LLC | Internal Medicine | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Capital Medical Center Specialty Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Past | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Past | Accepting new patients | |
| Hawaii Emergency Physicians Associated Inc | Past | Accepting new patients |
Locations
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DOS-1221 | HI | |
| Hospitalist Physician | 208M00000X | OP60362856 | WA | |
| Hospitalist Physician | 208M00000X | DOS-1221 | HI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2023.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1477754331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "EVAN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "DOS-1221",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "OP60362856",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "DOS-1221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "221 Mahalani St",
"city": "Wailuku",
"state": "HI",
"country_code": "US",
"postal_code": "967932526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.