Healthcare Provider Details

I. General information

NPI: 1962334946
Provider Name (Legal Business Name): JOSEPH MATTHEW BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 KENNEDY ST NW APT 101
WASHINGTON DC
20011-6556
US

IV. Provider business mailing address

429 KENNEDY ST NW APT 101
WASHINGTON DC
20011-6556
US

V. Phone/Fax

Practice location:
  • Phone: 571-269-1676
  • Fax:
Mailing address:
  • Phone: 571-269-1676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: