Individual provider Active NPI

Donna L Brown, DO

  • Emergency Medicine Physician
  • Jackson, MI
National Provider Identifier
1508809203
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101011357 Issued in MI
Practice address
1 S Jackson SQ
Jackson, MI 49201-1457
Phone
(517) 768-7766
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101011357 MI Primary

Addresses

Primary practice location

1 S Jackson SQ
Jackson, MI 49201-1457

Mailing address

1 S Jackson SQ
Jackson, MI 49201-1457
Phone (517) 768-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000616 MI Practitioner - Emergency Medicine 9032272695 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101011357MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Rapids Medical Center CurrentSince May 23, 2015 Accepting new patients
Eaton Rapids Medical Center CurrentSince May 23, 2015 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Wa Foote Memorial Hospital, Inc Emergency Medicine Past Accepting new patients

Locations

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1508809203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S JACKSON SQ",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011457",
            "telephone_number": "517-768-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S JACKSON SQ",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011457",
            "telephone_number": "517-768-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.