REBECCA GRANDY BROWN PA
NPI 1720062896
Physician Assistant - Surgical in Syracuse, NY

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, CLINICAL AFFILIATES, SYRACUSE, NY 13203(315) 448-2876(315) 448-6325 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Grandy Brown Pa NPPES

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

REBECCA GRANDY BROWN PA (NPI 1720062896) is an individual surgical provider in Syracuse, New York, licensed in New York (008131-1) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720062896
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameREBECCA GRANDY BROWNCredential: PA
Location Address301 PROSPECT AVE, CLINICAL AFFILIATESSyracuse, NY 13203-1807
Mailing Address301 Prospect Ave, Clinical AffiliatesSyracuse, NY 13203-1807 · (315) 448-2876 · Fax (315) 448-6325
Fax(315) 448-6325
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 2, 2005
Last NPPES UpdateAugust 22, 2011
NPI 1720062896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 008131-1
301 PROSPECT AVE, Syracuse, NY 13203

Other Names 1

Former Name (1)Rebecca Suzanne Grandy Pa

Other Identifiers 2

Medicare PINJ400052157NY
Medicare UPINP41956NY

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

Rebecca Grandy Brown Pa 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 ID3072599430
PECOS Enrollment IDI20040625001041
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.

Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Rebecca Brown's NPI number?

The NPI number for Rebecca Brown is 1720062896. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Rebecca Suzanne Grandy PA.

Where is Rebecca Brown located?

Rebecca Brown practices at 301 Prospect Ave Clinical Affiliates, Syracuse, NY 13203. The listed phone number is (315) 448-2876.

What is Rebecca Brown's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Rebecca Brown enrolled in Medicare?

Yes. Rebecca 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.

When was this NPI record last updated?

The NPPES record for Rebecca Brown was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.