Healthcare Provider Details

I. General information

NPI: 1609958529
Provider Name (Legal Business Name): WILLIAM J BROWNLEE M D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE STE 213
WASHINGTON DC
20017-2106
US

IV. Provider business mailing address

1809 REDWOOD TER NW
WASHINGTON DC
20012-1022
US

V. Phone/Fax

Practice location:
  • Phone: 202-526-0200
  • Fax: 202-832-3476
Mailing address:
  • Phone: 202-526-0200
  • Fax: 202-832-3476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD21292
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD21292
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD21292
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMD21292
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD21292
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD21292
License Number StateDC
# 7
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD21292
License Number StateDC

VIII. Authorized Official

Name: DR. WILLIAM JAMES BROWNLEE III
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 202-526-0200