Active NPI
Drew Jacques Brown IV, M.D.
- Orthopaedic Surgery Physician
- Wesley Chapel, FL
National Provider Identifier
1811193444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME121959
- Practice address
- 2236 Green Hedges Way
Wesley Chapel, FL 33544-8189 - Phone
- (813) 358-3578
- NPI assigned
- Jun 21, 2007
- Last updated
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 322038 | LA | |
| Orthopaedic Surgery Physician | 207X00000X | MDR-5314 | HI | |
| Orthopaedic Surgery Physician | 207X00000X | ME121959 | FL | Primary |
Addresses
Primary practice location
2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Mailing address
107 N 11TH St # 508
Tampa, FL 33602-4242
Phone (813) 358-3578
Other practice location 1
9191 R G Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 503-1065
Other practice location 2
9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 335-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 3, 2020 through Aug 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-5314 | HI | MD | Orthopaedic Surgery Physician |
| 322038 | LA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Center for Spinal Disorders Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- drew.brown.1@8922.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- La Jolla, CA
- NPI 1568689354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1811193444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N 11TH ST # 508",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024242",
"telephone_number": "813-358-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 GREEN HEDGES WAY",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335448189",
"telephone_number": "813-358-3578"
}
],
"practiceLocations": [
{
"address_1": "9191 R G Skinner Pkwy",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32256",
"country_code": "US",
"telephone_number": "904-503-1065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9077 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349523405",
"country_code": "US",
"telephone_number": "772-335-4770",
"fax_number": "772-335-4133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DREW",
"middle_name": "JACQUES",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "322038",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": "MDR-5314",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME121959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.