Active NPI
Stuart Brown, PA-C
- Medical Physician Assistant
- Pasco, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA61614061
- Practice address
- 6115 Burden Blvd Ste D
Pasco, WA 99301-0010 - Phone
- (509) 488-5256
- Fax
- (509) 488-9939
- NPI assigned
- May 8, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA61614061 | WA | Primary |
Addresses
Primary practice location
6115 Burden Blvd Ste D
Pasco, WA 99301-0010
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
Other practice location 1
1800 Novell Pl
Provo, UT 84606-6101
Phone (801) 375-5125
Other practice location 2
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
Other practice location 3
1051 S Columbia Avenue
Connell, WA 99326
Phone (509) 488-5256 ext. 8512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61614061 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain University of Health Professions Foundation | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Past | Accepting new patients |
Locations
1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512
7405 Three Rivers Dr
Pasco, WA 99301
Phone 5094885256 ext. 8512
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.
-
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
-
- Physical Therapist
- Provo, UT
- NPI 1053174417
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1619915006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1871283523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 BURDEN BLVD STE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993010010",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
}
],
"practiceLocations": [
{
"address_1": "1800 Novell Pl",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846066101",
"country_code": "US",
"telephone_number": "801-375-5125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 E Columbia St",
"address_purpose": "LOCATION",
"city": "Othello",
"state": "WA",
"postal_code": "993441846",
"country_code": "US",
"telephone_number": "509-488-5256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1051 S Columbia Avenue",
"address_purpose": "LOCATION",
"city": "Connell",
"state": "WA",
"postal_code": "99326",
"country_code": "US",
"telephone_number": "509-488-5256 x8512",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "STUART",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61614061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.