Timothy A Brown, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10935 Issued in WV

Practice address

2619 Pennsylvania Ave Ste 2
Weirton, WV 26062

Phone

(304) 723-3090

Fax

(304) 723-2576

NPI assigned

Mar 20, 2007

Last updated

Jul 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Timothy a Brown MD PC

  • Dermatology Physician
  • Weirton, WV
  • NPI 1487645388
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1053436261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE STE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623777",
            "telephone_number": "304-723-3090",
            "fax_number": "304-723-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE STE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-3090",
            "fax_number": "304-723-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Chesapeake St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lyndora",
            "state": "PA",
            "postal_code": "160451150",
            "country_code": "US",
            "telephone_number": "724-282-0404",
            "fax_number": "724-282-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD026005E",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "10935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070000589",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016868800001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070312000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406012595",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brijinder S. Kochhar, MD, PLLC
• Kelli Elise Brooks, DDS
• Hailee Raeanne Brown, COTA/L
• Marie Brown
• Michaela Brown
• Brittney Maria Buchanan, LSW
• Allison Marie Buczynski
• Machell Lee Burch, CNA
• Tawnya Burket
• Sue Ellen Burns

• Dermatology Physician in Weirton, WV
• Providers in Weirton, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.