Healthcare Provider Details

I. General information

NPI: 1841269461
Provider Name (Legal Business Name): JOY LYNN BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE OB/GYN DEPT
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

1467 CARRINGTON CIR
SAN JOSE CA
95125-4874
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5550
  • Fax:
Mailing address:
  • Phone: 408-267-6145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA77662
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA77662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: