Juanita M Brown, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS6343 Issued in FL

Practice address

424 N Broad St
New Tazewell, TN 37825-6606

Phone

(423) 869-7193

Fax

(423) 869-7195

NPI assigned

Aug 24, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134236201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520367",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256606",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 N Semoran Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073555",
            "country_code": "US",
            "telephone_number": "407-277-0231",
            "fax_number": "407-277-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUANITA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS6343",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Jade Bayless, PHARMD
• Earl Dan Bembry, PHD, FNP-BC
• Sheryl Ann Bishop
• Amber Blevins
• William Herbert Brooks, LPN
• Jessica Broyles, RD, LDN
• Mary Lou Cameron, FNP
• Kelsey Paige Carroll
• Cherokee Health Systems (River Valley Health)
• Claiborne Care Center

• Neuromusculoskeletal Medicine & OMM Physician in New Tazewell, TN
• Providers in New Tazewell, TN by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.