Deontae Brown Barnum, CCHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20784 Issued in PA

Practice address

1348 Bainbridge St FL 2
Philadelphia, PA 19147-1810

Phone

(267) 389-3021

Fax

(267) 389-3021

NPI assigned

Sep 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tae Brown Barnum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1093540221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 BAINBRIDGE ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471810",
            "telephone_number": "267-467-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 BAINBRIDGE ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471810",
            "telephone_number": "267-389-3021",
            "fax_number": "267-389-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN BARNUM",
        "first_name": "DEONTAE",
        "credential": "CCHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "20784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAE",
            "last_name": "BROWN BARNUM",
            "credential": "CCHW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gelena Brousalinski, P.T.
• Alyssa Brouse, LSW
• Katelyn Broussard
• Veronique Broussard
• Kelly Stiles Brower, M.D.
• Janelle Eiko Brown Bratsch, M.D.
• Jacqueline Nicole Brown Crawford
• Brown Eye Care LLC
• Laura Jane Brown Kochman, MSS, LSW
• Marie Brown-Farley, PA-C

• Community Health Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community Health Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.