Michelle R. Brown, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002338 Issued in VA

Practice address

606 Denbigh Blvd
Suite 400
Newport News, VA 23608-4413

Phone

(757) 833-0780

Fax

(757) 833-0783

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• Children'S Medical Group, Inc., D/B/a Liberty Pediatrics

  • Pediatrics Physician
  • Newport News, VA
  • NPI 1386652824
  NPD (past)
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1083864482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD",
            "address_2": "SUITE 400",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084413",
            "telephone_number": "757-833-0780",
            "fax_number": "757-833-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD",
            "address_2": "SUITE 400",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084413",
            "telephone_number": "757-833-0780",
            "fax_number": "757-833-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Brown
• Jamie Brown, LPC
• Jennette Brown, CMT, LMT, MMT
• Jordin Brown
• Lucinda M Brown, CNM
• Monika R Brown, NP
• Rondell Leeron Brown, RBT
• Ronnie Brown, DPT
• Roosevelt Brown, DMIN, LMFT
• Sabrina Nicole Brown

• Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.