Individual provider Active NPI

Drew Jacques Brown IV, M.D.

  • Orthopaedic Surgery Physician
  • Wesley Chapel, FL
National Provider Identifier
1811193444
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME121959 Issued in FL
Practice address
2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone
(813) 358-3578
NPI assigned
Jun 21, 2007
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MDR-5314HIMDOrthopaedic Surgery Physician
322038LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Spinal Disorders Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.