MEDICARE: DAVID BROWN DBA CUMBERLAND MEDICAL

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	207Q00000X	Family Medicine Physician	0101232154	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DD5674	OTHER		MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1619072626	OTHER		INDIVIDUAL NPI

General Provider Information

NPI Number	:	1265611487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID BROWN DBA CUMBERLAND MEDICAL

Provider Business Mailing Address
First Line	:	PO BOX 26
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-0026
Country	:	US
Telephone Number	:	804-492-9086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1758 ANDERSON HWY
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2524
Country	:	US
Telephone Number	:	804-492-9086
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	DR. DAVID B BROWN
Credential	:	MD
Telephone Number	:	804-492-9086

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	11/26/2007

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