Individual provider Active NPI

Lisa Malloy Brown, M.D.

  • Family Medicine Physician
  • Montross, VA
National Provider Identifier
1295729341
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101226862 Issued in VA
Practice address
18849 Kings Hwy
Montross, VA 22520-2965
Phone
(804) 493-9999
Fax
(804) 493-7140
NPI assigned
Sep 6, 2005
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101226862 VA Primary

Addresses

Primary practice location

18849 Kings Hwy
Montross, VA 22520-2965

Mailing address

PO Box 880
Montross, VA 22520-0880
Phone (804) 493-9999

Other practice location 1

25892 N James Madison Hwy
New Canton, VA 23123-2234
Phone (434) 581-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160408001596 DC Practitioner - Family Practice 1951382373 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Dominion Family Health, PLC Family Medicine PastSince Oct 14, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.malloy.brown.1@30093.direct.athenahealth.com

Organizations & group practices 5

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1295729341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "225200880",
            "telephone_number": "804-493-9999",
            "fax_number": "804-493-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18849 KINGS HWY",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "225202965",
            "telephone_number": "804-493-9999",
            "fax_number": "804-493-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25892 N James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "New Canton",
            "state": "VA",
            "postal_code": "231232234",
            "country_code": "US",
            "telephone_number": "434-581-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "middle_name": "MALLOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101226862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montross, VA

Sources for this page

Verify at the official NPI Registry.