Physician Compare National (NPI:1215915814)

HEALTHCARE PROVIDER: BENJAMIN TIMOTHY BROWN M.D.

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

Individual Professional Information
NPI	1215915814
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921136565
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100503000319
	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	BENJAMIN
	Individual professional first name
Provider Middle Name	TIMOTHY
	Individual professional middle name
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	1980
	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
Organization Legal Name	BLUE RIDGE HEALTH CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9739082520
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4038 THOMAS NELSON HWY
	Group Practice or individual's line 1 address
City	ARRINGTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	229222302
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4342634000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y