Active NPI
James E Brown Jr., M.D.
- Obstetrics & Gynecology Physician
- North Syracuse, NY
National Provider Identifier
1538159447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 192220
- Practice address
- 729 1/2 N Main St
North Syracuse, NY 13212-1651 - Phone
- (315) 701-0500
- Fax
- (315) 701-9650
- NPI assigned
- Oct 24, 2005
- Last updated
- Dec 28, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 192220 | NY | Primary |
Addresses
Primary practice location
729 1/2 N Main St
North Syracuse, NY 13212-1651
Mailing address
792 N Main St
Ste 100a
North Syracuse, NY 13212-1644
Phone (315) 423-9722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01552996 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1538159447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 N MAIN ST",
"address_2": "STE 100A",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-423-9722",
"fax_number": "315-423-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 1/2 N MAIN ST",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121651",
"telephone_number": "315-701-0500",
"fax_number": "315-701-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "192220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01552996",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.