Randall Brown

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

19-900 Issued in WV

Practice address

20 Scott Ave Ste 301
Morgantown, WV 26508-8857

Phone

(304) 241-4000

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Laurens Wish Addiction Triage Center Inc

  • Community/Behavioral Health Agency
  • Morgantown, WV
  • NPI 1336023712
  NPD
• Jacob'S Ladder at Brookside Farm, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, WV
  • NPI 1205344355
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1134854458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "19-900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Nicole Brown, DO
• Maria Brown
• Meredith Brown, RN
• Patrick Alexander Brown, M.D.
• Raina Nevan Brown
• Samantha Jo Brown, NNP-BC
• Sarah Brown, RN
• Sucora Beverly Brown
• Sydney Brown, PA-C
• Justin Browning, PA-C

• All providers in Morgantown, WV
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.