Jordan Taylor Brown, M.D.
Individual provider Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1497071674 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1497071674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01071293A (IN)
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-8549
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarksville Emergency Group PC
Practice addresses (Care Compare)
1701 S Creasy LN
Franciscan Health Lafayette East
Lafayette, IN 47905-4972
Phone (765) 502-4000
Hospital & facility affiliations
- Franciscan Health Lafayette
- Franciscan Health Crawfordsville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120920000707 | IN | Practitioner - Emergency Medicine | 4284805037 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071293A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| University Medical Center, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
Interoperability endpoints
- jbrown152354@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 01071293A | IN | Yes |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
PO Box 7112
Indianapolis, IN 46207-7112
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrown152354@Direct.FranciscanAlliance.org | Direct |
Other providers in Indianapolis, IN
- Jessica Brown
- Jessica Sidni Brown
- Jessicka Brown
- John S Brown
- John W Brown
- Joshua Brown
- Kari Brown
- Kasha Brown
- Katherine Brown
- Katherine Renee Brown
All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.