John Brownell, MD
Individual provider Active NPI Family Medicine Physician · Cedar Rapids, IA
NPI 1861452633 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1861452633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31442 (IA)
- Practice address
- 75 Short St NW
Cedar Rapids, IA 52405-4203 - Phone
- (319) 390-3963
- Fax
- (319) 396-3886
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Physician Associates Inc
Practice addresses (Care Compare)
1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362
3701 Katz Dr
Marion, IA 52302-3871
Phone (319) 377-3174
75 Short St NW
Cedar Rapids, IA 52405-4203
Phone (319) 396-6313
Hospital & facility affiliations
- Mercy Home Care
- Aveanna Healthcare
- Centerwell Home Health
- Mercy Medical Center - Cedar Rapids
- St Lukes Hospital
- Meth-Wick Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100331000338 | IA | Practitioner - Family Practice | 3375679137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31442 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Associates | Family Medicine | Current |
Accepting new patients |
| Mercy Physician Associates Inc | Family Medicine | Current |
Accepting new patients |
| Mercy Physician Associates, Inc | Family Medicine | Current | Accepting new patients |
Locations
75 Short St NW
Cedar Rapids, IA 52405
Phone (319) 396-3395
5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444
1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
Interoperability endpoints
- john.brownell.1@19293.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31442 | IA | Yes |
Addresses
Primary practice location
75 Short St NW
Cedar Rapids, IA 52405-4203
Mailing address
PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4124354 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Melinda Sue Brown
- Robin Gail Brown
- Steven Andrew Brown
- Tiffany L Brown
- Zachary Tyler Brown
- Emily Bruinsma
- Sandra Brune
- Danelle S Brunk
- Jessica Brunk
- Luke C Brunner
All providers in Cedar Rapids, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.