Active NPI
Jordan Michael Brown, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2016010901
- Practice address
- 6607 Clayton Rd Apt 2W
Saint Louis, MO 63117-1640 - Phone
- (314) 991-8200
- NPI assigned
- Jun 2, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0446268 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | 036149307 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 01082252A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 2016010901 | MO | Primary |
Addresses
Primary practice location
6607 Clayton Rd Apt 2W
Saint Louis, MO 63117-1640
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8200
Other practice location 1
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-4762
Other practice location 2
3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Phone (417) 359-1320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Diagnostic Radiology
- Education
- University of Missouri, Columbia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1165
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1055
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031
6607 Clayton Rd
Saint Louis, MO 63117-1609
Phone (314) 941-5600
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250
901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 231-6252
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital Washington
- Mercy Hospital Jefferson
- Mercy Hospital South
- Mercy Hospital Lincoln
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- Quality
- 86.95
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036149307 | IL | MD | Diagnostic Radiology Physician |
| 01082252A | IN | MD | Diagnostic Radiology Physician |
| 0446268 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients |
Interoperability endpoints
- jordanbrown@sfc.allscriptsdirect.net
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1891089223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-991-8200",
"fax_number": "314-569-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6607 CLAYTON RD APT 2W",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171640",
"telephone_number": "314-991-8200"
}
],
"practiceLocations": [
{
"address_1": "100 Mercy Way",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648044524",
"country_code": "US",
"telephone_number": "417-556-4762",
"fax_number": "417-556-6321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3125 Dr Russell Smith Way",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "MO",
"postal_code": "648367402",
"country_code": "US",
"telephone_number": "417-359-1320",
"fax_number": "417-237-7283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0446268",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036149307",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01082252A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2016010901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.