Individual provider Active NPI

Victor Douglas Brown, DMD

  • Dentist
  • Coudersport, PA
National Provider Identifier
1245294875
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS022313L Issued in PA
Practice address
6 Niles Hill Road
Coudersport, PA 16915
Phone
(814) 274-1111
Fax
(814) 274-7786
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS022313L PA Primary

Addresses

Primary practice location

6 Niles Hill Road
Coudersport, PA 16915

Mailing address

1489 Sr 49 East
Coudersport, PA 16915
Phone (814) 274-7194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000957 PA Order and Referring Only - DentistPractitioner - Dentist 6406176676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Victor D. Brown, DMD, LLC Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: victor.brown@upmcdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245294875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 SR 49 EAST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "16915",
            "telephone_number": "814-274-7194",
            "fax_number": "814-274-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NILES HILL ROAD",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "16915",
            "telephone_number": "814-274-1111",
            "fax_number": "814-274-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VICTOR",
        "middle_name": "DOUGLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022313L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

Verify at the official NPI Registry.