NPIMap

Individual provider Active NPI

Nathanial Brown, P.A

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1972040277
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
APP-000078993 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-1015
Phone
(440) 759-3613
NPI assigned
Jan 24, 2017
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 APP-000078993 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-1015

Mailing address

30407 Wood Oak Cir
Westlake, OH 44145-3741

Other practice location 1

800 E Broad St
Columbus, OH 43205-1015
Phone (614) 252-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SD, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170607000901 OH Practitioner - Physician Assistant 7517235906 Reassigns benefits to 3 organizations
I20250917001244 SD Practitioner - Physician Assistant 7517235906 Reassigns benefits to 1 organization
I20251208000892 WI Practitioner - Physician Assistant 7517235906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

425 Pine Ridge Blvd
Suite 220a
Wausau, WI 54401-4123
Phone (715) 847-2070

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APP-000078993OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince May 1, 2021 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 20, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 12, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 20, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 12, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 12, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 12, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 12, 2025 Accepting new patients
The Metrohealth System CurrentSince May 1, 2021 Accepting new patients
West River Dermatology, PC Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 209
Wausau, WI 54401
Phone (715) 845-4606

425 Pine Ridge Blvd
Ste 220A
Wausau, WI 54401
Phone (715) 847-2070

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: nbrown254216@direct.metrohealth.org
  • Direct secure messaging: nbrwon440975@direct.aspirus.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1972040277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30407 WOOD OAK CIR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951015",
            "telephone_number": "440-759-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051015",
            "country_code": "US",
            "telephone_number": "614-252-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NATHANIAL",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "APP-000078993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.