Active NPI
Blair Jordon Brown, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2020-03619
- Practice address
- 3001 Lyndhurst Ave
Winston Salem, NC 27103-4026 - Phone
- (336) 765-0383
- NPI assigned
- Jun 18, 2015
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 209949 | NC | |
| Internal Medicine Physician | 207R00000X | 209949 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2020-03619 | NC | Primary |
Addresses
Primary practice location
3001 Lyndhurst Ave
Winston Salem, NC 27103-4026
Mailing address
5172 Old Plantation Cir
Winston Salem, NC 27104-4410
Phone (828) 244-5592
Other practice location 1
1 Medical Center Blvd
Winston-Salem, NC 27103
Phone (336) 716-2011
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brown012181@direct.novanthealth.org | Direct | Spectrum Medical Group PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone (336) 765-0383
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209949 | NC | MD | Internal Medicine Physician |
| 2020-03619 | NC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Critical Care Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Spectrum Medical Group PA | Single Specialty | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Single Specialty | Past | Accepting new patients |
Locations
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3001 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 765-0383
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Organizations & group practices 5
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
Single Specialty
-
dba Salem Chest Specialists
- Critical Care Medicine (Internal Medicine) Physician
- Winston Salem, NC
- NPI 1801878632
Single Specialty
-
dba Novant Health Inpatient Critical Care
- Critical Care Medicine (Internal Medicine) Physician
- Winston Salem, NC
- NPI 1336817345
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
dba Twin County Regional Hospital
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1861874539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5172 OLD PLANTATION CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044410",
"telephone_number": "828-244-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 LYNDHURST AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034026",
"telephone_number": "336-765-0383"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston-Salem",
"state": "NC",
"postal_code": "27103",
"country_code": "US",
"telephone_number": "336-716-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "BLAIR",
"middle_name": "JORDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2023-11-27",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "209949",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "209949",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2020-03619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brown012181@direct.novanthealth.org",
"affiliation": "Y",
"affiliationName": "Spectrum Medical Group PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3001 Lyndhurst Ave",
"city": "Winston-Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271034007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.