BARRY M. BROWN JR. FNP
NPI 1225420490
Nurse Practitioner in Columbia, SC

Active since February 25, 2015PECOS EnrolledAccepts Medicare Assignment
111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2022, Jul 21, 2021, Jun 17, 2020 and 2 more (5 updates tracked since 2016).

About Barry M. Brown Jr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARRY M. BROWN JR. FNP (NPI 1225420490) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (23604) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with East Cooper Medical Center, and maintains a secondary practice location in Murfreesboro.

NPPES Registry Identity

NPI1225420490
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBARRY M. BROWN JR.Credential: FNP
Location Address111 DOCTOR CIRColumbia, SC 29203-6502
Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 25, 2015
Last NPPES UpdateOctober 31, 20225 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
NPI 1225420490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in SC · 23604 Licensed in TN · 19538
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 19538 (TN)
111 DOCTOR CIR, Columbia, SC 29203

Secondary Practice Location 1

Location 1726 S Church StMurfreesboro, TN 37130-4926 · Phone (615) 893-7786

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Barry M. Brown Jr. Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012237654
PECOS Enrollment IDI20200429001693
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,105 services219 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
442 services108 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
138 services123 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
125 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
108 services101 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
79 services53 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barry Brown's NPI number?

The NPI number for Barry Brown is 1225420490. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Where is Barry Brown located?

Barry Brown practices at 111 Doctor Cir, Columbia, SC 29203. The listed phone number is (800) 491-0909.

What is Barry Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Barry Brown enrolled in Medicare?

Yes. Barry Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Barry Brown accept?

Health plans from First Choice Next, Molina Healthcare and UnitedHealthcare list Barry Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Barry Brown affiliated with any hospitals?

According to CMS data, Barry Brown is affiliated with East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Brown was last updated on October 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.