MEDICARE: TERRILL F BROWN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	384	NC
2	213ES0103X	Foot & Ankle Surgery Podiatrist	384	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0802T	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063463982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRILL F BROWN DPM

Provider Business Mailing Address
First Line	:	1738 METROMEDICAL DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3861
Country	:	US
Telephone Number	:	910-484-4191
Fax Number	:	910-484-5546

Provider Business Practice Location Address
First Line	:	1738 METROMEDICAL DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3861
Country	:	US
Telephone Number	:	910-484-4191
Fax Number	:	910-484-5546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/01/2025

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Directions to “ TERRILL F BROWN DPM” Practice Location

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