=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780678581
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA K BROWN MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2005
-----------------------------------------------------
Last Update Date | 08/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1755 N MECKLENBURG AVE
-----------------------------------------------------
City | SOUTH HILL
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23970-4080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-584-5567
-----------------------------------------------------
Fax | 434-584-5545
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 780125
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19178-0125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-922-4844
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 0101237588
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------