Active NPI
James Cornelius Brown II, PA-C
- Physician Assistant
- Lutz, FL
National Provider Identifier
1821295866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100900
- Practice address
- 24420 Sr 54
Lutz, FL 33559-7303 - Phone
- (813) 949-4100
- Fax
- (813) 949-4144
- NPI assigned
- Jul 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100900 | FL | Primary |
Addresses
Primary practice location
24420 Sr 54
Lutz, FL 33559-7303
Mailing address
918 Stallion Way
Valrico, FL 33594-4396
Phone (813) 546-6891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2336Q | Other | FL | MEDICARE PTAN LINKED TO GROUP PTAN GA609A |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2677 | GA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| 10 To 10 Urgent Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- jbrown264002@direct.unitypoint.org
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Urgent Care Clinic/Center
- Lutz, FL
- NPI 1932368495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1821295866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 STALLION WAY",
"city": "VALRICO",
"state": "FL",
"postal_code": "335944396",
"telephone_number": "813-546-6891",
"fax_number": "813-657-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24420 SR 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597303",
"telephone_number": "813-949-4100",
"fax_number": "813-949-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "CORNELIUS",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LINKED TO GROUP PTAN GA609A",
"identifier": "E2336Q",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.