Individual provider Active NPI

Royale Brown, MSN, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • London, KY
National Provider Identifier
1053088690
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3016813 Issued in KY
Practice address
300 Carrera Dr
London, KY 40741-6303
Phone
(606) 260-8962
NPI assigned
Aug 23, 2021
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 498871 KY
Adult Health Nurse Practitioner 363LA2200X 0030255 OH
Adult Health Nurse Practitioner 363LA2200X 110463 WV
Gerontology Nurse Practitioner 363LG0600X 498871 KY
Gerontology Nurse Practitioner 363LG0600X 0030255 OH
Gerontology Nurse Practitioner 363LG0600X 110463 WV
Primary Care Nurse Practitioner 363LP2300X 3016813 KY Primary
Primary Care Nurse Practitioner 363LP2300X 0030255 OH
Primary Care Nurse Practitioner 363LP2300X 110463 WV

Addresses

Primary practice location

300 Carrera Dr
London, KY 40741-6303

Mailing address

1022 11TH Ave
Huntington, WV 25701-3325
Phone (304) 208-5213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211229002282 KY Practitioner - Nurse Practitioner 5597156554 Reassigns benefits to 1 organization
I20220111002971 OH Practitioner - Nurse Practitioner 5597156554 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
110463WVMDAdult Health Nurse Practitioner
498871KYMDPrimary Care Nurse Practitioner
0030255OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Mar 4, 2024 Accepting new patients
Ohio Valley Physicians Inc Primary Care CurrentSince Mar 4, 2024 Accepting new patients
Pinnacle Treatment Centers Ky-I, LLC PastSince Feb 23, 2025 Accepting new patients

Locations

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

335 Township Road 1026
South Point, OH 45680
Phone (740) 744-4055

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1053088690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013325",
            "telephone_number": "304-208-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARRERA DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416303",
            "telephone_number": "606-260-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROYALE",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "498871",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "0030255",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "110463",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "498871",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0030255",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "110463",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3016813",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "0030255",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "110463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.