Individual provider Active NPI

Julie Jaclyn Browne, PA-C, RD

  • Medical Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1730419060
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4591 Issued in AZ
Practice address
750 N Estrella Pkwy
Ste 40
Goodyear, AZ 85338-9272
Phone
(623) 889-3477
Fax
(623) 889-3478
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4591 AZ
Medical Physician Assistant 363AM0700X 4591 AZ Primary
Surgical Physician Assistant 363AS0400X 4591 AZ

Addresses

Primary practice location

750 N Estrella Pkwy
Ste 40
Goodyear, AZ 85338-9272

Mailing address

PO Box 5204
Goodyear, AZ 85338-0603
Phone (623) 889-3477

Other identifiers 1

IdentifierTypeStateIssuer
790592MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100315000750 AZ Practitioner - Physician Assistant 7113052234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwestern UniversityGroup PAC ID 6305734773, 116 clinicians

Practice addresses (Care Compare)

19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 537-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4591AZMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University CurrentSince Jan 18, 2020 Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Sunny Internal Medicine and Pediatrics, PLLC Past Accepting new patients

Locations

19389 N 59th Ave
Glendale, AZ 85308

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

Interoperability endpoints

  • Direct secure messaging: jbrowne19667@direct.midwestern.edu

Organizations & group practices 4

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1730419060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380603",
            "telephone_number": "623-889-3477",
            "fax_number": "623-889-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ESTRELLA PKWY",
            "address_2": "STE 40",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389272",
            "telephone_number": "623-889-3477",
            "fax_number": "623-889-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "JULIE",
        "middle_name": "JACLYN",
        "name_prefix": "Miss",
        "credential": "PA-C, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4591",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4591",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.