Healthcare Provider Details

I. General information

NPI: 1255285185
Provider Name (Legal Business Name): MATTHEW JOHN BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVY MEDICINE READINESS AND TRAINING COMM CHERRY POINT PSC BOX 8023 BLDG. 4389
CHERRY POINT NC
28533
US

IV. Provider business mailing address

1114 AMBERJACK CT
NEW BERN NC
28562-1019
US

V. Phone/Fax

Practice location:
  • Phone: 252-466-0921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: