Jack R Brown, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

JB006565 Issued in MI

Practice address

2435 Midland Rd
Saginaw, MI 48603-3445

Phone

(989) 791-9380

Fax

(989) 791-9382

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Kevin Roy MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1558071274
  NPD (past)
• Saginaw Valley Family Care, PLLC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1992270870
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1649249186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 MIDLAND RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033445",
            "telephone_number": "989-791-9380",
            "fax_number": "989-791-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 MIDLAND RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033445",
            "telephone_number": "989-791-9380",
            "fax_number": "989-791-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JB006565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107733211",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dane A Brown, MD
• Daniel Brown, LLMSW
• Destiny Brown
• Emily Brown
• Gregory Scott Brown, MD
• Johnny Earl Brown Jr.
• Kayla Brown
• Kayla Jenay Brown
• Kierra Gabrielle Brown
• Kimberly Shaw Brown, NP-C

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.