NPIMap

Individual provider Active NPI

Lesli Antoinette Brown, M.D.

  • Family Medicine Physician
  • Prince George, VA
National Provider Identifier
1073749461
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101251204 Issued in VA
Practice address
4700 Puddledock Rd
Suite 300
Prince George, VA 23875-1268
Phone
(804) 526-1111
Fax
(804) 526-2978
NPI assigned
May 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101251204 VA Primary

Addresses

Primary practice location

4700 Puddledock Rd
Suite 300
Prince George, VA 23875-1268

Mailing address

4700 Puddledock Rd
Suite 300
Prince George, VA 23875-1268
Phone (804) 526-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000537 VA Practitioner - Family Practice 4880842350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Prime Care Family Practice PCGroup PAC ID 5799738035, 7 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4700 Puddledock Rd
Suite 300
Prince George, VA 23875-1268
Phone 8045261111122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Family Practice, P.C. Family Medicine CurrentSince Sep 4, 2012 Accepting new patients

Locations

241 Charles H Dimmock Pkwy
Ste 6
Colonial Heights, VA 23834
Phone (804) 526-1111

4700 Puddledock Rd
Ste 300
Prince George, VA 23875
Phone (804) 526-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGEACA
  • Direct secure messaging: lesli.brown@pcfp.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1073749461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "SUITE 300",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-526-1111",
            "fax_number": "804-526-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "SUITE 300",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-526-1111",
            "fax_number": "804-526-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LESLI",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101251204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.