Active NPI
Nancy Brown, DO
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1114990769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004243L
- Practice address
- 3300 Aramingo Ave
Philadelphia, PA 19134 - Phone
- (215) 634-5110
- Fax
- (215) 634-5108
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004243L | PA | Primary |
Addresses
Primary practice location
3300 Aramingo Ave
Philadelphia, PA 19134
Mailing address
101 E Olney Ave
400
Philadelphia, PA 19120-2421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014488890004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279929600000",
"number": "1114990769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ARAMINGO AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-634-5110",
"fax_number": "215-634-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NANCY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2010-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004243L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014488890004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.