Active NPI
Jon Robert Brown, DO
- Surgery Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS14288
- Practice address
- 1400 SE Goldtree Dr Ste 103
Port St Lucie, FL 34952-7582 - Phone
- (772) 335-8446
- Fax
- (772) 335-8499
- NPI assigned
- Apr 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101016366 | MI | |
| Trauma Surgery Physician | 2086S0127X | 02004106A | IN | |
| Surgery Physician | 208600000X | OS14288 | FL | Primary |
Addresses
Primary practice location
1400 SE Goldtree Dr Ste 103
Port St Lucie, FL 34952-7582
Mailing address
1400 SE Goldtree Dr Ste 103
Port St Lucie, FL 34952-7582
Phone (772) 335-8446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Colorado School of Medicine, Denver, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1881 SE Tiffany Ave
Suite 301
Port Saint Lucie, FL 34952-7567
Phone (772) 335-8446
Hospital & facility affiliations
- Visiting Nurse Association of Florida Inc
- St Lucie Medical Center
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 53 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14288 | FL | MD | Surgery Physician |
| 5101016366 | MI | MD | Surgery Physician |
| 02004106A | IN | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach General Surgery LLC | Surgery | Current | Accepting new patients |
| Palm Beach General Surgery LLC | Surgery | Past | Accepting new patients |
| Sierra Vista Hospital | Past | Accepting new patients |
Locations
12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111
1924 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 357-0540
1825 SE Tiffany Ave
Ste 101
Port St Lucie, FL 34952
Phone (772) 219-4026
1881 SE Tiffany Ave
Ste 301
Port St Lucie, FL 34952
6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jon.brown@hca4.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Loxahatchee, FL
- NPI 1235326760
-
- Surgery Physician
- Atlantis, FL
- NPI 1710040266
-
- Rural Health Clinic/Center
- Truth Or Consequences, NM
- NPI 1689638942
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1598887010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DR STE 103",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527582",
"telephone_number": "772-335-8446",
"fax_number": "772-335-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SE GOLDTREE DR STE 103",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527582",
"telephone_number": "772-335-8446",
"fax_number": "772-335-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101016366",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IN",
"license": "02004106A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS14288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.