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NPI Code Detail

MEDICARE: JANINE R BROWN MD

MEDICARE:   JANINE R 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
1207Q00000XFamily Medicine Physician0101233489VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1139311OTHERVAANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699771394
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE R BROWN MD
Provider Business Mailing Address
First Line : PO BOX 791128
Second Line :
City : BALTIMORE
State : MD
Zip : 21279-1128
Country : US
Telephone Number : 703-391-2030
Fax Number : 703-273-3943
Provider Business Practice Location Address
First Line : 6201 CENTREVILLE RD
Second Line : 100
City : CENTREVILLE
State : VA
Zip : 20121-2446
Country : US
Telephone Number : 703-263-9600
Fax Number : 703-266-1452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 11/27/2023

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