BONNIE BROWN – Otolaryngology/Facial Plastic Surgery Physician, NPI 1427923127

BONNIE BROWN is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold a License No. 227722 (OR). The NPI Number for BONNIE BROWN is 1427923127

Main info

Female
0 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE BROWN
NPI
1427923127
Phone
Not provided
Address
5770 RED LEAF DR S APT 332
Enumeration Date
10 October 2025
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035811567
Graduation Year
2026 (0 years ago)
PAC ID
3870071632
Group Practice PAC ID
5597737643
Professional Enrollment ID
I20260202003347
Address ID
OR973029754SA3099XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for BONNIE BROWN

  • 5770 RED LEAF DR S APT 332

    SALEM, OR 973063021

    Phone:

    Type: Mailing

  • 3099 RIVER RD S

    SALEM, OR 973029754

    Phone: (503) 581-1567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260202003347IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97306)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597737643View full group profile
NameSpecialtyState
Physician AssistantOR
O T O L A R Y N G O L O G YNC
Physician AssistantOR
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YOR
O T O L A R Y N G O L O G YMI
Physician AssistantUT
Qualified AudiologistOR
Qualified AudiologistOR
O T O L A R Y N G O L O G YOR

Reviews

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Frequently asked questions

Can I verify BONNIE BROWN with an NPI only?
You can start verification with NPI 1427923127 for BONNIE BROWN, then check state licensing separately.
Does the file indicate BONNIE BROWN is practicing under active NPI?
Directory data currently reports BONNIE BROWN as active.
What is BONNIE BROWN best known for clinically?
Directory data describes BONNIE BROWN with Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does BONNIE BROWN serve?
BONNIE BROWN's listing highlights Salem, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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