Brown Family Practice, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN14103 Issued in TN

Legal business name

BROWN FAMILY PRACTICE, INC.

Doing business as

Calvary Medical

Practice address

1582 N Broad St
Suite 2
Tazewell, TN 37879-4352

Phone

(423) 626-0277

Fax

(423) 626-0082

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Gary Wayne Brown, NPNPI 1396988762

Title

Owner

Phone

(423) 626-0277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Calvary Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary W. Brown Jr., NP-C

  • Primary Care Nurse Practitioner
  • Tazewell, TN
  • NPI 1396988762
  Medicare reassignment Care Compare group Authorized official
• Amy Howe, NP-C

  • Family Nurse Practitioner
  • Tazewell, TN
  • NPI 1225540495
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1366997637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 N BROAD ST STE 2",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794352",
            "telephone_number": "423-626-0277",
            "fax_number": "423-626-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 N BROAD ST",
            "address_2": "SUITE 2",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794352",
            "telephone_number": "423-626-0277",
            "fax_number": "423-626-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-626-0277",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN14103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "APN 14103",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvary Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Blocker, ARNP
• Makayla Brashears, PHARMD
• Matthew A Brayton, NP
• La Wanna Wallen Brock, F.N.P., A.P.N.
• Rondal Keith Brock, P.A.C.
• Gary W. Brown Jr., NP-C
• Beth Ann Busby-Coon, PHARM. D.
• Priscilla Cameron, FNP-C
• Robin Capps, LPTA
• Carroll Rose, MD

• Primary Care Clinic/Center in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.