Individual provider Active NPI

Mary Gordon Buckingham Brown, NPC

  • Endocrinology, Diabetes & Metabolism Physician
  • Richmond, VA
National Provider Identifier
1154470458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0024167127 Issued in VA
Practice address
5875 Bremo Road
Suite 501
Richmond, VA 23226
Phone
(804) 282-9899
Fax
(804) 282-2619
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Hospital Inc 53 clinicians
Mary Washington Healthcare Providers LLC 264 clinicians

Practice addresses (Care Compare)

1201 B Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-8457
Phone (540) 741-5502

125 Hospital Ctr Blvd
Suite 221
Stafford, VA 22554-6203
Phone (540) 899-3595

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20081006000519 VA Practitioner - Nurse Practitioner 9830267772 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167127VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Endocrinology, Diabetes & Metabolism Current Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Nov 3, 2025 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Nov 3, 2025 Accepting new patients
Mary Washington Hospital, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Robert P Castellucci MD Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

1201 Sam Perry Blvd
Ste 280
Fredericksburg, VA 22401
Phone (540) 361-2922

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

125 Hospital Center Blvd
Ste 221
Stafford, VA 22554
Phone (540) 741-5501

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0024167127 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

5875 Bremo Road
Suite 501
Richmond, VA 23226

Mailing address

PO Box 247
Midlothian, VA 23113
Phone (804) 378-5010

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
097991OtherVAANTHEM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154470458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-378-5010",
            "fax_number": "804-378-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO ROAD",
            "address_2": "SUITE 501",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-282-9899",
            "fax_number": "804-282-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY GORDON",
        "middle_name": "BUCKINGHAM",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0024167127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "097991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.