Healthcare Provider Details

I. General information

NPI: 1780385591
Provider Name (Legal Business Name): NORRIS LEE BROWN JR. MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 NEWPORT AVE STE 500
NORFOLK VA
23505-3357
US

IV. Provider business mailing address

7300 NEWPORT AVE STE 500
NORFOLK VA
23505-3357
US

V. Phone/Fax

Practice location:
  • Phone: 757-627-0864
  • Fax: 757-966-9613
Mailing address:
  • Phone: 757-627-0864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number2083P09010
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: