Individual provider Active NPI

Phillip Joe Brown, P.A. -C

  • Surgical Physician Assistant
  • Abilene, TX
National Provider Identifier
1720054521
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00660 Issued in TX
Practice address
1150 N 18TH St Ste 401
Abilene, TX 79601-2931
Phone
(325) 670-4560
Fax
(325) 670-4559
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA00660 TX Primary

Addresses

Primary practice location

1150 N 18TH St Ste 401
Abilene, TX 79601-2931

Mailing address

1150 N 18TH St Ste 401
Ste. 260
Abilene, TX 79601-2931
Phone (325) 670-4560

Other identifiers 1

IdentifierTypeStateIssuer
1539173-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091116000291 TX Practitioner - Physician Assistant 8921146788 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 30, 2014 Accepting new patients
Hendrick Medical Center Current Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1150 N 18th St
Ste 401
Abilene, TX 79601
Phone (325) 670-4560

1680 Antilley Rd
Ste 260
Abilene, TX 79606
Phone (325) 691-5590

Interoperability endpoints

  • Direct secure messaging: pjbrown@hmc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1720054521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 401",
            "address_2": "STE. 260",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-4560",
            "fax_number": "325-670-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 401",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-4560",
            "fax_number": "325-670-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PHILLIP",
        "middle_name": "JOE",
        "credential": "P.A. -C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539173-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.