Individual provider Active NPI

Willie Lee Brown Jr., MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1043300874
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A40710 Issued in CA
Practice address
3440 W Shaw Ave
Fresno, CA 93711-3216
Phone
(559) 277-2273
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A40710 CA
Family Medicine Physician 207Q00000X A40710 CA Primary

Addresses

Primary practice location

3440 W Shaw Ave
Fresno, CA 93711-3216

Mailing address

3440 W Shaw Ave
Fresno, CA 93711-3216
Phone (559) 233-0335

Other practice location 1

2900 Fresno St Ste 100
Fresno, CA 93721-1439
Phone (559) 499-0520

Other practice location 2

6183 N Fresno St Ste 101
Fresno, CA 93710-8611
Phone (559) 233-0335

Other identifiers 2

IdentifierTypeStateIssuer
00A407100OtherCAMEDICAID INDIVIDUAL
GR0029520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000100 CA Practitioner - Obstetrics/Gynecology 2365504933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Garnica a Medical CorporationGroup PAC ID 6406838572, 2 clinicians

Practice addresses (Care Compare)

2384 E Gettysburg Ave
Fresno, CA 93726-0320
Phone (559) 233-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40710CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Garnica a Medical Corporation Family Medicine CurrentSince May 5, 2024 Accepting new patients
Fresno Community Hospital and Medical Center PastSince Jun 1, 2024 Accepting new patients

Locations

3440 W Shaw Ave
Fresno, CA 93711
Phone (559) 233-0335

2900 Fresno St
Ste 100
Fresno, CA 93721
Phone (559) 233-3131

6183 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 432-5003

2384 E Gettysburg Ave
Fresno, CA 93726
Phone (559) 222-2333

Interoperability endpoints

  • Direct secure messaging: wbrown@5458e40b.micromddirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1043300874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113216",
            "telephone_number": "559-233-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113216",
            "telephone_number": "559-277-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Fresno St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211439",
            "country_code": "US",
            "telephone_number": "559-499-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6183 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937108611",
            "country_code": "US",
            "telephone_number": "559-233-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIE",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A40710",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "00A407100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.