NPIMap

Individual provider Active NPI

Chase Benchley Brown, D.O.

  • Family Medicine Physician
  • Provo, UT
National Provider Identifier
1538600838
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10939749-1204 Issued in UT
Practice address
475 W 940 N
Provo, UT 84604-3301
Phone
(801) 357-7926
NPI assigned
Mar 20, 2017
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UT
Family Medicine Physician 207Q00000X 10939749-1204 UT Primary

Addresses

Primary practice location

475 W 940 N
Provo, UT 84604-3301

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 357-7926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610001729 IA Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 3476806282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians

Practice addresses (Care Compare)

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Interoperability endpoints

  • Direct secure messaging: cbrown260095@uihcdirect.org
  • Direct secure messaging: chasebrown@shenmed.allscriptsdirect.net

Organizations & group practices 5

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 5

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1538600838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-357-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 940 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043301",
            "telephone_number": "801-357-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHASE",
        "middle_name": "BENCHLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10939749-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.