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Physician Compare National (NPI:1174535009)

HEALTHCARE PROVIDER: LEON BROWN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1174535009
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0941367635
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090325000056
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BROWN
Individual professional last name
Provider First Name LEON
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 101 COWARDIN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 105
Group Practice or individual's line 2 address
City RICHMOND
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 232242078
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 490032
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEDICAL COLLEGE OF VIRGINIA HOSPITALS
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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