Lisa Malloy Brown, M.D.
Individual provider Active NPI Family Medicine Physician · Montross, VA
NPI 1295729341 · NPPES record last updated Oct 16, 2019
Key facts
- NPI
- 1295729341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101226862 (VA)
- Practice address
- 18849 Kings Hwy
Montross, VA 22520-2965 - Phone
- (804) 493-9999
- Fax
- (804) 493-7140
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001596 | DC | Practitioner - Family Practice | 1951382373 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226862 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Family Health, PLC | Family Medicine | Past |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Interoperability endpoints
- lisa.malloy.brown.1@30093.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101226862 | VA | Yes |
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
Other providers in Montross, VA
- Heather Lynn Andresen
- Angel Care Companion Services
- Carlita Coley & Associates
- Tiffany Caylor
- Central Virginia Health Services Inc
- Charles B. Palmer DDS
- Carlita Coley
All providers in Montross, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.