NPIMap

Individual provider Active NPI

William J Brown, D.O.

  • Family Medicine Physician
  • Thorndale, PA
National Provider Identifier
1790769172
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004389L Issued in PA
Practice address
200 Municipal Dr
Thorndale, PA 19372-1016
Phone
(610) 383-6300
Fax
(610) 383-0114
NPI assigned
Nov 30, 2005
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS004389L PA Primary

Addresses

Primary practice location

200 Municipal Dr
Thorndale, PA 19372-1016

Mailing address

200 Municipal Dr
Thorndale, PA 19372-1058
Phone (610) 383-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.brown@imat.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000174 PA Practitioner - Family Practice 3678547296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ingleside Medical Associates LLCGroup PAC ID 6507841954, 8 clinicians

Practice addresses (Care Compare)

200 Municipal Dr
Thorndale, PA 19372-1058
Phone (610) 383-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
90.81
Promoting interoperability
100
Improvement activities
40
Cost
68.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions26
Removal or shaving of skin growth49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ingleside Medical Associates LLC Family Medicine CurrentSince Aug 1, 1980 Accepting new patients
470 Manor Operating, LLC Past Accepting new patients

Locations

4223 W Lincoln Hwy
Parkesburg, PA 19365
Phone (215) 383-6300

200 Municipal Dr
Thorndale, PA 19372
Phone (484) 889-2523

3149 Lincoln Hwy
Thorndale, PA 19372
Phone (610) 383-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFEBA
  • Direct secure messaging: william.brown@imat.eclinicaldirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1790769172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MUNICIPAL DR",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721058",
            "telephone_number": "610-383-6300",
            "fax_number": "610-383-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MUNICIPAL DR",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721016",
            "telephone_number": "610-383-6300",
            "fax_number": "610-383-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004389L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.brown@imat.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Municipal Dr",
            "city": "Thorndale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193721016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.