Active NPI
Matthew Shusyang Brown, DO
- Physical Medicine & Rehabilitation Physician
- Everett, WA
National Provider Identifier
1770743759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OP60302990
- Practice address
- 4027 Hoyt Ave
Everett, WA 98201 - Phone
- (425) 339-5489
- Fax
- (425) 317-3689
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | H67675 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | OP60302990 | WA | Primary |
Addresses
Primary practice location
4027 Hoyt Ave
Everett, WA 98201
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5489
Other practice location 1
9909 Medical Center Drive
Rockville, MD 20850
Phone (240) 864-6007
Other practice location 2
9909 Medical Center Drive
Rockville, MD 20850
Phone (240) 864-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H67675 | MD | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Adventist Medical Group
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1770743759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-339-5489",
"fax_number": "425-317-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-339-5489",
"fax_number": "425-317-3689"
}
],
"practiceLocations": [
{
"address_1": "9909 Medical Center Drive",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "240-864-6007",
"fax_number": "240-864-6125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9909 Medical Center Drive",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "240-864-6007",
"fax_number": "240-864-6125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MATTHEW",
"middle_name": "SHUSYANG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "MD",
"license": "H67675",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "OP60302990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.