MEDICARE: DR. DAVID BRYCE 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	207Q00000X	Family Medicine Physician	0101232154	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	139031	OTHER		ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619072626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BRYCE BROWN MD

Provider Business Mailing Address
First Line	:	PO BOX 927
Second Line	:	5 E ALVON ROAD, SUITE 7
City	:	WHITE SULPHUR SPRINGS
State	:	WV
Zip	:	24986-2373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1758 ANDERSON HWY
Second Line	:	CENTRAL SOUTHSIDE PROFESSIONALS LLC
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2524
Country	:	US
Telephone Number	:	804-492-9086
Fax Number	:

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	10/29/2012

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