BENJAMIN BROWN
NPI 1790367001
Military Health Care Provider in Tacoma, WA

Q: What is Benjamin Brown's NPI number?

The NPI number for Benjamin Brown is 1790367001. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Q: What is Benjamin Brown's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Brown was last updated on January 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2021PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250(253) 968-0614 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Apr 26, 2021 (2 updates tracked since 2021).

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About Benjamin Brown NPPES

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

BENJAMIN BROWN (NPI 1790367001) is an individual military health care provider provider in Tacoma, Washington and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790367001

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameBENJAMIN BROWN

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250 · Fax (253) 968-0614

Phone(253) 968-1250

Fax(253) 968-0614

Sole ProprietorYes

Enumeration DateApril 26, 2021

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1790367001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Brown 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.