Healthcare Provider Details

I. General information

NPI: 1184533341
Provider Name (Legal Business Name): JOSHUA BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAWRENCE ST NE
WASHINGTON DC
20017-3513
US

IV. Provider business mailing address

1362 N CAROLINA AVE NE
WASHINGTON DC
20002-6424
US

V. Phone/Fax

Practice location:
  • Phone: 202-635-5900
  • Fax:
Mailing address:
  • Phone: 786-253-1490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: