MEDICARE: TREVOR BROWN

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1558115691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR BROWN

Provider Business Mailing Address
First Line	:	2130 GLYNNWOOD DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31404-5911
Country	:	US
Telephone Number	:	858-692-8921
Fax Number	:

Provider Business Practice Location Address
First Line	:	4282 GENESEE AVE STE 302
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-4985
Country	:	US
Telephone Number	:	858-284-0070
Fax Number	:	858-284-0071

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

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	05/14/2026

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Directions to “ TREVOR BROWN ” Practice Location

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