Individual provider Active NPI

Jeremy Lynn Brown, M.D.

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1861630824
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9884 Issued in TX
Practice address
3702 21St St
Lubbock, TX 79410-1299
Phone
(806) 795-2751
Fax
(806) 795-8464
NPI assigned
Jan 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M9884 TX Primary
Pediatrics Physician 208000000X M9884 TX

Addresses

Primary practice location

3702 21St St
Lubbock, TX 79410-1299

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000643 TX Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 3577619063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Hospital & facility affiliations

  • Covenant Health at Home With Compassus, Hospice of Lubbock Hospice, Lubbock, TX, CCN 451519
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
Hospice of Lubbock Inc Current Accepting new patients
Covenant Medical Group CurrentSince Sep 1, 2009 Accepting new patients
Covenant Medical Center Past Accepting new patients

Locations

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3702 21st St
Lubbock, TX 79410
Phone (806) 795-2751

Interoperability endpoints

  • Direct secure messaging: jbrown1359338@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Covenant Health at Home With Compassus, Hospice of LubbockLubbock, TX, CCN 451519 Hospice Contracted Managing Employee Feb 27, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1861630824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101299",
            "telephone_number": "806-795-2751",
            "fax_number": "806-795-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEREMY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9884",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.