DR. JUSTIN M BROWN (NPI# 1033234562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033234562 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN M BROWN |
| Credential | MD |
| Practice Address |
55 Fruit St # 745 Boston MA 02114-2621 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 6177268582 |
| Practice Fax Number | 8588224715 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 273253 | MA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | A117012 | CA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 2007004395 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1033234562 | 05 | |
| MO | 206315707 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637883 | Justin Brown | Social Worker | 3350 S Lituanica Ave, #2r, Chicago, IL 60608-6765 | 2017-02-09 |
| 1154751212 | Justin Brown | Social Worker | 1210 E Freeport St, Broken Arrow, OK 74012-2907 | 2013-11-26 |
| 1235490731 | Justin Joe Brown | Behavioral Analyst | 2433 E Tropicana Ave, #181, Las Vegas, NV 89121-5416 | 2012-06-01 |
| 1720353261 | Justin Marshall Brown | Specialist/Technologist, Other | 92 Hunt Rd, Elizabethtown, KY 42701-5667 | 2012-03-16 |
| 1013110568 | Justin David Brown | Dentist | 5 Logan St, Peru, IN 46970-1642 | 2007-06-11 |
| 1780892414 | Justin Tyler Brown | Dentist | 670 Shepard Ln Ste 105, Farmington, UT 84025-3936 | 2007-05-18 |
| 1104047968 | Justin David Brown | Chiropractor | 4674 Coral Ridge Dr, Coral Springs, FL 33076-2252 | 2007-05-01 |
| 1235183211 | Justin A Brown | Chiropractor | 30 Lynoak Cv, Jackson, TN 38305-2800 | 2006-05-22 |
| 1417557406 | Justin Brown | Pharmacist | 1221 Georgesville Rd, Columbus, OH 43228-3327 | 2020-10-28 |
| 1184236259 | Justin Taylor Brown | Physical Therapist | 106 Enterprise Ct, Columbus, GA 31904-9227 | 2020-08-20 |
| Street Address |
55 FRUIT ST # 745 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1376021279 | Felix Nwajei | Neurological Surgery | 725 Albany St # 7c, Boston, MA 02118-2526 | 2018-08-02 |
| 1740627579 | Christian Strong | Neurological Surgery | 75 Francis St # Ab-136, Boston, MA 02115-6110 | 2013-06-03 |
| 1518251834 | Zachary Luke Tataryn | Neurological Surgery | 197 Beacon St, Apartment 3r, Boston, MA 02116-1461 | 2011-06-03 |
| 1598932154 | Yi Lu | Neurological Surgery | 75 Francis St, Ca455, Department of Neurosurgery, Brigham & Women's Hospital, Boston, MA 02115-6110 | 2008-05-13 |
| 1770775256 | Ron I Riesenburger | Neurological Surgery | 800 Washington Street Box 178, Tufts Medical Center, Boston, MA 02111 | 2007-08-17 |
| 1154498152 | Raymond Kevin Ryan | Neurological Surgery | 1 Adirondack Pl, Boston, MA 02124-5603 | 2006-11-29 |
| 1083626907 | Ann-christine Duhaime | Neurological Surgery | 55 Fruit St # 331, Boston, MA 02114-2621 | 2006-08-12 |
| 1972525541 | Ajith J Thomas | Neurological Surgery | 110 Francis Street, Suite 3b, Boston, MA 02215 | 2006-07-24 |
| 1902843196 | Johnny C Pryor | Neurological Surgery | 55 Fruit Street, Grb 241, Mass General Hospital, Boston, MA 02114 | 2006-05-31 |
| Find all providers in BOSTON | ||||
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| 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.