JONATHAN RUDY BROWN (PA-C) – Surgical Physician Assistant, NPI 1598235798

JONATHAN RUDY BROWN (PA-C) is a healthcare provider. based in West valley city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10986764-1206 (UT). The NPI Number for JONATHAN RUDY BROWN (PA-C) is 1598235798

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN RUDY BROWN (PA-C)
NPI
1598235798
Phone
(801) 965-3600
Address
2965 W 3500 S
Enumeration Date
29 November 2018
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019653600
Graduation Year
2018 (8 years ago)
PAC ID
1557602802
Group Practice PAC ID
3476465691
Professional Enrollment ID
I20190415000484
Address ID
UT841193602WE2965X3500300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for JONATHAN RUDY BROWN (PA-C)

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

  • 1159 E 200 N STE 300

    AMERICAN FORK, UT 840032037

    Phone: (801) 965-3600

    Type: Location

  • 555 W SR 164

    Salem, UT 84653

    Phone: (801) 465-4896

    Fax: (801) 465-3267

    Type: Location

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    ATTN: CREDENTIALING

    PROVO, UT 846049100

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $791.

Total Amount is formed as General ($791) + Research ($0) + Ownership ($0) = $791.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($185).

Total Amount

$791

General + Research + Ownership

Payments

37

Total payment records

General Amount

$791

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-15

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
I20190415000484IPhysician AssistantUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81001Manual urinalysis test with examination using microscope, automated9564$0
99214Established patient office or other outpatient visit, 30-39 minutes7467$0
51798Ultrasound measurement of bladder capacity after voiding5647$0
99213Established patient office or other outpatient visit, 20-29 minutes5650$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 84119)

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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: 3476465691View full group profile
NameSpecialtyState
Nurse PractitionerUT
U R O L O G YUT
-UT
Pain ManagementUT
Physician AssistantUT
-UT
Sports Medicine, Family PracticeUT
-UT
Family PracticeUT
Internal MedicineUT

Reviews

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Frequently asked questions

What is the standard ID for JONATHAN RUDY BROWN (PA-C) in the U.S.?
In the U.S., JONATHAN RUDY BROWN (PA-C) is identified by NPI 1598235798.
Should I treat JONATHAN RUDY BROWN (PA-C) as an active provider?
Patients and plans typically see JONATHAN RUDY BROWN (PA-C) as active in the national extract.
What type of care does JONATHAN RUDY BROWN (PA-C) provide?
JONATHAN RUDY BROWN (PA-C)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JONATHAN RUDY BROWN (PA-C) tied to West Valley City, Utah?
If you are local to West Valley City, Utah, JONATHAN RUDY BROWN (PA-C) may be relevant to your search.
Who maintains JONATHAN RUDY BROWN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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