NPIMap

Organization Active NPI

Brownsville Family Medicine, PA

  • Family Medicine Physician
  • Brownsville, TN
National Provider Identifier
1689640724
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0644 Issued in TN
Legal business name
BROWNSVILLE FAMILY MEDICINE, PA
Practice address
2290 N Washington Ave
Brownsville, TN 38012-1607
Phone
(731) 772-5183
Fax
(731) 772-2781
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Dr. Adam English, DONPI 1689628406
Title
Owner/Physician
Phone
(731) 772-5183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0644 TN Primary

Addresses

Primary practice location

2290 N Washington Ave
Brownsville, TN 38012-1607

Mailing address

2290 N Washington Ave
Brownsville, TN 38012-1607
Phone (731) 772-5183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405000070 TN Part B Supplier - Clinic/Group Practice 3173516556 Receives reassigned benefits from 3 practitioners
Practice locations: Brownsville, TN
O20150915003371 TN Part A Provider - Rural Health Clinic 3173516556 Practice locations: Brownsville, TN

Rural health clinic certification: CCN 448957

Legal name
BROWNSVILLE FAMILY MEDICINE, PA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 4, 2015
Last certification
Jul 25, 2022
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Oct 7, 1987 in TN
Enrollment address
2290 N. Washington Avenue
Brownsville, TN 38012-1607

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0313244Brownsville Family Medicine2290 N Washington Ave, Brownsville, TN 38012ComplianceMar 30, 2028

National Provider Directory

National Provider Directory

Locations

2290 N Washington Ave
Brownsville, TN 38012
Phone (731) 772-5183

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adam P English Individual General Partnership InterestPresident May 10, 2018 50%
Jason B Goolsby Individual General Partnership InterestSecretary May 10, 2018 50%
W-2 Managing EmployeeMD; May 10, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1689640724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 N WASHINGTON AVE",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121607",
            "telephone_number": "731-772-5183",
            "fax_number": "731-772-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 N WASHINGTON AVE",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121607",
            "telephone_number": "731-772-5183",
            "fax_number": "731-772-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "731-772-5183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "D0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TN

Sources for this page

Verify at the official NPI Registry.