JEREMY BROWN (NPI# 1902289523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902289523 |
| Entity Type | Individual |
| Full Name | JEREMY BROWN |
| Credential | PA-C |
| Practice Address |
2211 Lomas Blvd Ne Fl 2 Albuquerque NM 87106-2719 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052722336 |
| Practice Fax Number | 5052725103 |
| Mailing Telephone | 5052721320 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2015-0035 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273424 | Jeremy Brown | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2016-05-17 |
| 1174915094 | Jeremy Brown | Behavioral Analyst | 1629 Lamar St, Florence, AL 35630-2710 | 2015-03-02 |
| 1265797450 | Jeremy D Brown | Dentist | 2369 Airline Dr Ste 330, Bossier City, LA 71111-5867 | 2012-07-12 |
| 1366426330 | Jeremy Brown | Emergency Medicine | 8401 Wisconsin Ave, Bethesda, MD 20814-3105 | 2005-12-02 |
| 1730604307 | Jeremy Brown | Physical Therapist | 24165 W Interstate 10 Ste 202, San Antonio, TX 78257-1160 | 2017-08-04 |
| 1932631132 | Jeremy Brown | Pediatrics | 3333 Burnet Ave # Mlc7012, Cincinnati, OH 45229-3026 | 2017-03-28 |
| 1649716093 | Jeremy Brown | Counselor | 889 W Main St, Centerville, MA 02632-3067 | 2017-01-10 |
| 1346796919 | Jeremy Brown | Counselor | 20433 Lullabye Ln, Hammond, LA 70401 | 2016-09-01 |
| 1790132397 | Jeremy Brown | Counselor | 7307 Baltimore Ave, Suite 109, College Park, MD 20740-3231 | 2016-05-24 |
| 1760861116 | Jeremy Brown | Family Medicine | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2015-05-19 |
| Street Address |
2211 LOMAS BLVD NE FL 2 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487867545 | Karen Barton | Nurse Practitioner | 2211 Lomas Blvd Ne Fl 2, Albuquerque, NM 87106-2719 | 2007-05-07 |
| 1194067918 | Zao Charles Vu | Anesthesiology | 2211 Lomas Blvd Ne Fl 2, Albuquerque, NM 87106-2719 | 2013-03-19 |
| 1700076239 | Jeffrey Wu | Plastic Surgery | 2211 Lomas Blvd Ne Fl 2, Unm Surgical Plastic Surgery Clinic, Albuquerque, NM 87106-2719 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
| 1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
| 1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
| 1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
| 1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
| 1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on JEREMY BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.