Individual provider Active NPI

Brett G Josie, PA-C

  • Physician Assistant
  • Rock Island, IL
National Provider Identifier
1912234220
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003653 Issued in IL
Practice address
2202 18TH Ave
Rock Island, IL 61201-3614
Phone
(309) 786-3466
Fax
(309) 786-1692
NPI assigned
Nov 6, 2009
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003653 IL Primary

Addresses

Primary practice location

2202 18TH Ave
Rock Island, IL 61201-3614

Mailing address

2202 18TH Ave
Rock Island, IL 61201-3614
Phone (309) 786-3466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000279 IA Practitioner - Physician Assistant 8123167012 Reassigns benefits to 1 organization
I20100118000285 IL Practitioner - Physician Assistant 8123167012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

106 19TH Ave
Suite 103
Moline, IL 61265-3700
Phone (309) 779-7050

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

3904 16TH St
Moline, IL 61265-1275

3912 16TH St
Moline, IL 61265-1275
Phone (309) 581-7600

3924 16TH St
Moline, IL 61265-1275
Phone (309) 779-5260

600 John Deere Rd
Moline, IL 61265-6812

600 N College Ave
Suite 110
Geneseo, IL 61254-1092
Phone (563) 264-9300

600 N College Ave
Suite 120
Geneseo, IL 61254-1095
Phone (309) 944-5342

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 20, 2015 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Apr 20, 2015 Accepting new patients
Trinity Medical Center Physician Assistant Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 John Deere Rd
Ste 401
Moline, IL 61265
Phone (309) 779-3627

2202 18th Ave
Rock Island, IL 61201
Phone (309) 788-5524

Interoperability endpoints

  • Direct secure messaging: bjosie106508@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1912234220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-786-3466",
            "fax_number": "309-786-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-786-3466",
            "fax_number": "309-786-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIE",
        "first_name": "BRETT",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.