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1215916556

NPI Code Detail

MEDICARE: RALPH BROWN MD

MEDICARE: RALPH BROWN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101-231887	VA
2	208100000X	Physical Medicine & Rehabilitation Physician	0101-231887	VA
3	2081P0004X	Spinal Cord Injury Medicine Physician	0101-231887	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	C02255	OTHER		MEDICARE GRP PTAN
5	C01619	OTHER	VA	MEDICARE GRP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215916556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH BROWN MD

Provider Business Mailing Address
First Line	:	2900 TYLER RD
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-6374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 TYLER RD
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-6374
Country	:	US
Telephone Number	:	540-731-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2006
Last Update Date	:	02/09/2011

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Directions to “ RALPH BROWN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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