BLAINE BROWN MD
NPI 1689692774
Anesthesiology in San Bernardino, CA

Q: What is Blaine Brown's NPI number?

The NPI number for Blaine Brown is 1689692774. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Blaine Brown's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Blaine Brown was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006PECOS Enrolled

2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 883-8711 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blaine Brown Md NPPES

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

BLAINE BROWN MD (NPI 1689692774) is an individual anesthesiology provider in San Bernardino, California, licensed in Utah (179635-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689692774

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameBLAINE BROWNCredential: MD

Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836

Mailing Address3824 Riverwood DrProvo, UT 84604-6094 · (800) 883-7243 · Fax (714) 647-1245

Phone(909) 883-8711

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateMarch 11, 2020

NPPES CertifiedMarch 11, 2020

✔ NPI 1689692774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in UT · 179635-1205✔ Licensed in CA · A96642

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2101 N WATERMAN AVE, San Bernardino, CA 92404

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Other Identifiers 2

OtherP00611233Rr

Medicaid00A966420CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blaine Brown Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NICHOLAS WALTHER PA-C

Physician Assistant (Medical)