Healthcare Provider Details

I. General information

NPI: 1841329943
Provider Name (Legal Business Name): FANNIE BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 GREENBELT RD STE 510
GREENBELT MD
20770-6526
US

IV. Provider business mailing address

12211 PLUM ORCHARD DR STE 220
SILVER SPRING MD
20904-7919
US

V. Phone/Fax

Practice location:
  • Phone: 301-220-1200
  • Fax: 301-474-5590
Mailing address:
  • Phone: 301-754-3060
  • Fax: 301-681-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0050461
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: