MR. JUSTIN MICHAEL BROWN ACNP NPI 1063963338

NPI Information

NPI: 1063963338
Provider Name: MR. JUSTIN MICHAEL BROWN, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
7979 WURZBACH RD
3RD FLOOR-URSCHEL BLDG
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 450-0999
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MR. Justin Michael Brown, ACNP is an acute care nurse practitioner in San Antonio, TX with 8 years of experience. MR. Justin Michael Brown, ACNP NPI is 1063963338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7979 WURZBACH RD
3RD FLOOR-URSCHEL BLDG
SAN ANTONIO, TX
ZIP 78229-427
Phone: (210) 450-0999
Fax: (210) 450-4965

The NPI 1063963338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 1/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP132346	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	546348YK00	MEDICARE UPIN	TEXAS
2	365596102	OTHER	TEXAS	CSHCN
3	365596101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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