Active NPI
Jeffrey Brown, MD
- Hospitalist Physician
- Lafayette, IN
National Provider Identifier
1891764858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01030352A
- Practice address
- 2600 Ferry St
Lafayette, IN 47904-3055 - Phone
- (765) 448-8000
- Fax
- (765) 838-4698
- NPI assigned
- Mar 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01030352A | IN | |
| Hospitalist Physician | 208M00000X | 01030352A | IN | Primary |
Addresses
Primary practice location
2600 Ferry St
Lafayette, IN 47904-3055
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9401915 | Other | IN | PHCS PID NUMBER |
| 000000197889 | Other | IN | ANTHEM PROVIDER NUMBER |
| 10824841 | Other | IN | CAQH NUMBER |
| 100088650 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrown27@direct.iuhealth.org |
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 |
|---|---|---|---|
| 01030352A | IN | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1891764858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000",
"fax_number": "765-448-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 FERRY ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479043055",
"telephone_number": "765-448-8000",
"fax_number": "765-838-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01030352A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01030352A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9401915",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000197889",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "10824841",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088650",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrown27@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2600 Ferry St",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479043055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.