Healthcare Provider Details

I. General information

NPI: 1154368447
Provider Name (Legal Business Name): ELLEN RENEE BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELLEN RENEE POST MD

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 HOLIDAY HILLS DR
PARKERSBURG WV
26104-8006
US

IV. Provider business mailing address

602 17TH ST
VIENNA WV
26105-1104
US

V. Phone/Fax

Practice location:
  • Phone: 304-420-2400
  • Fax: 304-420-9014
Mailing address:
  • Phone: 304-482-5449
  • Fax: 304-461-7082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.099978
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21389
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number042-0011212
License Number StateVT
# 4
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number35.099978
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number21389
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: