Active NPI
Jay Edward Brown, M.D.
- Allergy & Immunology Physician
- Ames, IA
National Provider Identifier
1790772069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 39501
- Practice address
- 1215 Duff Ave
Ames, IA 50010-5400 - Phone
- (515) 239-4482
- Fax
- (515) 239-4732
- NPI assigned
- Oct 3, 2005
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 29844 | IA | |
| Allergy & Immunology Physician | 207K00000X | 39501 | IA | Primary |
Addresses
Primary practice location
1215 Duff Ave
Ames, IA 50010-5400
Mailing address
1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110452 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrown2780@directmcfarlandclinic.com | Health Information Exchange (HIE) |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39501 | IA | MD | Allergy & Immunology Physician |
| 29844 | IA | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1790772069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105400",
"telephone_number": "515-239-4482",
"fax_number": "515-239-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105400",
"telephone_number": "515-239-4482",
"fax_number": "515-239-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IA",
"license": "29844",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IA",
"license": "39501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110452",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrown2780@directmcfarlandclinic.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1215 Duff Ave",
"city": "Ames",
"state": "IA",
"country_code": "US",
"postal_code": "500105400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.