Individual provider Active NPI

Casey Brown, PA-C

  • Dermatology Physician
  • Plymouth, MA
National Provider Identifier
1629553359
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
6730 Issued in MA
Practice address
1 Scobee Cir
Plymouth, MA 02360-4887
Phone
(508) 747-0711
Fax
(508) 746-9265
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 6730 MA Primary

Addresses

Primary practice location

1 Scobee Cir
Plymouth, MA 02360-4887

Mailing address

1 Scobee Cir
Plymouth, MA 02360-4887
Phone (508) 747-0711

Other names 1

  • Casey Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001915 MA Practitioner - Physician Assistant 9234473885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Scobee Cir
Suite 3
Plymouth, MA 02360-4887
Phone (508) 747-0711

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

75 Washington St
Norwell, MA 02061-1795
Phone (781) 878-6495

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6730MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC Dermatology CurrentSince Apr 6, 2020 Accepting new patients
Northeast Dermatology Associates, PC Current Accepting new patients

Locations

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

75 Washington St
Ste 200
Norwell, MA 02061
Phone (781) 878-6495

75 Washington St
Ste 20
Norwell, MA 02061

75 Washington St
Norwell, MA 02061

1 Scobee Cir
Ste 3
Plymouth, MA 02360
Phone (508) 747-0711

1 Scobee Cir
Plymouth, MA 02360
Phone (508) 747-0711

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: cbrown@southshoreskin.emadirect.md

Organizations & group practices 2

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1629553359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "BROWN",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.