Individual provider Active NPI

Jordan Edward Brown, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1942464029
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
4621 Issued in OK
Practice address
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 502-1900
Fax
(918) 494-6303
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4621 OK Primary

Addresses

Primary practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

1705 E 19th St
Ste 302
Tulsa, OK 74104-5405
Phone (918) 748-7585

Other practice location 2

1100 Carson Ave Ste 201
LA Junta, CO 81050-2748
Phone (719) 383-5925

Other identifiers 1

IdentifierTypeStateIssuer
200229080AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000059 OK Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Hospitalist 2769516103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

Hospital & facility affiliations

  • Complete Hospice Care Hospice, Muskogee, OK, CCN 371710
  • Complete Hospice Care of Oklahoma City Hospice, Oklahoma City, OK, CCN 371654
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4621OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Feb 1, 2020 Accepting new patients
St. John Physicians, Inc Hospice and Palliative Medicine CurrentSince Jul 1, 2010 Accepting new patients
St. John Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients

Locations

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Interoperability endpoints

  • Direct secure messaging: jbrown207526@direct.saintfrancis.com

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.

Hospital & facility affiliations 4

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1942464029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361902",
            "telephone_number": "918-502-1900",
            "fax_number": "918-494-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 E 19th St",
            "address_2": "Ste 302",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045405",
            "country_code": "US",
            "telephone_number": "918-748-7585",
            "fax_number": "918-748-7539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Carson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502748",
            "country_code": "US",
            "telephone_number": "719-383-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JORDAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OK",
            "license": "4621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200229080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.