Individual provider Active NPI

Ellen Renee Brown, MD

  • Addiction Medicine (Family Medicine) Physician
  • Parkersburg, WV
National Provider Identifier
1154368447
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
21389 Issued in WV
Practice address
184 Holiday Hills Dr
Parkersburg, WV 26104-8006
Phone
(304) 420-2400
Fax
(304) 420-9014
NPI assigned
Jun 2, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.099978 OH
Family Medicine Physician 207Q00000X 21389 WV
Family Medicine Physician 207Q00000X 042-0011212 VT
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.099978 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 21389 WV Primary

Addresses

Primary practice location

184 Holiday Hills Dr
Parkersburg, WV 26104-8006

Mailing address

602 17TH St
Vienna, WV 26105-1104
Phone (304) 482-5449

Other identifiers 4

IdentifierTypeStateIssuer
P01138126OtherOHRAILROAD MEDICARE
1012998MedicaidVT
0075906MedicaidOH
3810023925MedicaidWV

Other names 1

  • Ellen Renee Post Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000501 WV Practitioner - Family Practice 6507818150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.099978OHMDFamily Medicine Physician
042-0011212VTMDFamily Medicine Physician
21389WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkersburg Treatment Center, LLC CurrentSince Jan 19, 2023 Accepting new patients
Parkersburg Treatment Center, LLC CurrentSince Jan 19, 2023 Accepting new patients
Raleigh Durham Medical Group PA Family Medicine PastSince Jul 25, 2021 Accepting new patients

Locations

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

184 Holiday Hills Dr
Parkersburg, WV 26104
Phone (304) 420-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1154368447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 17TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051104",
            "telephone_number": "304-482-5449",
            "fax_number": "304-461-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 HOLIDAY HILLS DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048006",
            "telephone_number": "304-420-2400",
            "fax_number": "304-420-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELLEN",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.099978",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21389",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0011212",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.099978",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WV",
            "license": "21389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01138126",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012998",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075906",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023925",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "POST",
            "middle_name": "RENEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.