Healthcare Provider Details

I. General information

NPI: 1780627216
Provider Name (Legal Business Name): JEFFREY E BROWN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

IV. Provider business mailing address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-0101
  • Fax: 828-757-0402
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number01086547A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number200300317
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200300317
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: