Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Rudy Brown, PA-C

Individual provider Physician Assistant · NPI 1598235798

Jonathan Rudy Brown, PA-C is a Physician Assistant in American Fork, Utah. Qualified in 2018, 8 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1159 E 200 N Ste 300
American Fork, UT 84003-2037
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 W Sr 164, Salem, UT 84653 — (801) 465-4896

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10986764-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 10986764-1206 (UT)

Record details

NPI number1598235798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in American Fork