Healthcare Provider Details

I. General information

NPI: 1255338489
Provider Name (Legal Business Name): JAMES TRIG BROWN MD, MPH, FACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 02/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 BEN FRANKLIN BLVD
DURHAM NC
27704-2143
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 919-477-6900
  • Fax: 919-477-5081
Mailing address:
  • Phone: 919-477-6900
  • Fax: 919-477-5081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25558
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: