Individual provider Active NPI

Joanna Brown, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Boston, MA
National Provider Identifier
1720059025
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
224401 Issued in MA
Practice address
300 Longwood Ave
Boston, MA 02115-5724
Phone
(617) 355-6000
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X MD12505 RI
Adolescent Medicine (Family Medicine) Physician 207QA0000X 224401 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 1

1126 Hartford Ave.
Johnston, RI 02919
Phone (401) 351-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080128000783 RI Practitioner - Family Practice 0345322418 Reassigns benefits to 3 organizations
I20220926001952 MA Practitioner - Family Practice 0345322418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12505RIMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Action, Inc CurrentSince Nov 26, 2007 Accepting new patients
Northwest Community Health Care Current Accepting new patients
Northwest Community Health Care CurrentSince Sep 30, 2017 Accepting new patients
Blackstone Valley Community Health Care, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Children'S Hospital Pediatric Associates, Inc CurrentSince Sep 1, 2022 Accepting new patients
Northwest Community Health Care CurrentSince Sep 30, 2017 Accepting new patients
Comprehensive Community Action, Inc. CurrentSince Nov 26, 2007 Accepting new patients
Blackstone Valley Community Health Care, Inc. PastSince Jul 1, 2016 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

142A Danielson Pike
Foster, RI 02825
Phone (401) 241-1924

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081

Interoperability endpoints

  • Direct secure messaging: jbrown22284@direct.bostonchildrens.org

Organizations & group practices 8

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1720059025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Hartford Ave.",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "02919",
            "country_code": "US",
            "telephone_number": "401-351-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "RI",
            "license": "MD12505",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "MA",
            "license": "224401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.