MEDICARE: MR. JAMES ROGER BROWN OTR/L CHT, CEAS

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	225XH1200X	Hand Occupational Therapist	1636	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18961	OTHER	NC	BCBS PROVIDER ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306880489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES ROGER BROWN OTR/L CHT, CEAS

Provider Business Mailing Address
First Line	:	1910 N CHURCH ST
Second Line	:	SUITE D
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5632
Country	:	US
Telephone Number	:	336-274-7480
Fax Number	:	336-274-8903

Provider Business Practice Location Address
First Line	:	530 SANDHURST DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4426
Country	:	US
Telephone Number	:	910-483-9000
Fax Number	:	910-483-9302

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	03/30/2010

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Directions to “ MR. JAMES ROGER BROWN OTR/L CHT, CEAS” Practice Location

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