Active NPI
Shannon S Brown, M.D.
- Emergency Medicine Physician
- Upland, PA
National Provider Identifier
1891747218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD062635L
- Practice address
- 1 Medical Center Blvd
Upland, PA 19013-3995 - Phone
- (610) 447-6254
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD062635L | PA | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Upland, PA 19013-3995
Mailing address
40 Raynham Rd
Merion Station, PA 19066-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670295 | Other | PA | HIGHMARK BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062635L | PA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1891747218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 RAYNHAM RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133995",
"telephone_number": "610-447-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHANNON",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD062635L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "670295",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.