Healthcare Provider Details

I. General information

NPI: 1477810976
Provider Name (Legal Business Name): ANGELA BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2012
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 JOSEPH SIEWICK DR
FAIRFAX VA
22033-1709
US

IV. Provider business mailing address

1926 LEONARD RD
FALLS CHURCH VA
22043-1322
US

V. Phone/Fax

Practice location:
  • Phone: 903-808-2199
  • Fax:
Mailing address:
  • Phone: 240-687-5302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101259798
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: