Individual provider Active NPI

Wayne Frederick Brown II, MD

  • Psychiatry Physician
  • St George, UT
National Provider Identifier
1730125956
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1713998905 Issued in UT
Practice address
544 S 400 E
St George, UT 84770-3705
Phone
(435) 688-4343
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1713998905 UT Primary

Addresses

Primary practice location

544 S 400 E
St George, UT 84770-3705

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 688-4343

Other identifiers 1

IdentifierTypeStateIssuer
07772MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20140613002038 UT Practitioner - Psychiatry 6204736150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Psychological Counseling and Consulting PCGroup PAC ID 8022350677, 2 clinicians

Practice addresses (Care Compare)

1490 E Foremaster Dr
Suite 360
St George, UT 84790-4508
Phone (435) 216-9290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1713998905UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychological Counseling and Consulting PC CurrentSince Feb 1, 2019 Accepting new patients

Locations

1490 E Foremaster Dr
Ste 340
St George, UT 84790
Phone (435) 216-9290

1490 E Foremaster Dr
Ste 360
St George, UT 84790
Phone (435) 359-3115

Organizations & group practices 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730125956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-688-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-688-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WAYNE",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "1713998905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07772",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.