Healthcare Provider Details

I. General information

NPI: 1356320881
Provider Name (Legal Business Name): JOSEPH A BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 JOHNSTON MEMORIAL DRIVE SUITE 304
ABINGDON VA
24211
US

IV. Provider business mailing address

16000 JOHNSTON MEMORIAL DRIVE SUITE 304
ABINGDON VA
24211
US

V. Phone/Fax

Practice location:
  • Phone: 276-258-3600
  • Fax: 276-258-3605
Mailing address:
  • Phone: 276-258-3600
  • Fax: 276-258-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101-234846
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101234846
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: