Healthcare Provider Details

I. General information

NPI: 1447189766
Provider Name (Legal Business Name): BRANDI BROWN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 O ST NW
WASHINGTON DC
20057-0003
US

IV. Provider business mailing address

7 WESTFIELD AVE
GOOSE CREEK SC
29445-4536
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-0100
  • Fax:
Mailing address:
  • Phone: 843-818-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number282909
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: