Active NPI
Mary Gordon Buckingham Brown, NPC
- Endocrinology, Diabetes & Metabolism Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0024167127
- 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.
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
VA
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Endocrinology, Diabetes & Metabolism
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
-
- Endocrinology, Diabetes & Metabolism Physician
- Richmond, VA
- NPI 1467647347
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Hospital
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
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 IncMary Washington Healthcare Providers LLC
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
- Stafford Hospital, LLC
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167127 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Mary Washington Hospital Inc. | Current | Accepting new patients | |
| Mary Washington Hospital, Inc. | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0024167127 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097991 | Other | VA | ANTHEM |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.