Active NPI
Bertram M Brown OD PC
- Clinic/Center
- Richmond, VA
National Provider Identifier
1396053740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0618000573
- Legal business name
- BERTRAM M BROWN OD PC
- Practice address
- 4941 A Nine Mile Road
Richmond, VA 23223-5738 - Phone
- (804) 222-0557
- Fax
- (804) 236-9398
- NPI assigned
- Sep 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bertram M Brown, O. D.
- Title
- President
- Phone
- (804) 222-0557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0618000573 | VA | Primary |
Addresses
Primary practice location
4941 A Nine Mile Road
Richmond, VA 23223-5738
Mailing address
4941 A Nine Mile Road
Fairfield Commons Shopping Center
Richmond, VA 23223-5738
Phone (804) 222-0557
National Provider Directory
National Provider DirectoryLocations
4941 Nine Mile Rd
#A
Richmond, VA 23223
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Hopewell, VA
- NPI 1902988512
-
- Optometrist
- Mechanicsville, VA
- NPI 1518047554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290384000000",
"number": "1396053740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 A NINE MILE ROAD",
"address_2": "FAIRFIELD COMMONS SHOPPING CENTER",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235738",
"telephone_number": "804-222-0557",
"fax_number": "804-236-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4941 A NINE MILE ROAD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235738",
"telephone_number": "804-222-0557",
"fax_number": "804-236-9398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERTRAM M BROWN OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-11-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "BERTRAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-222-0557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O. D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0618000573",
"primary": true
}
],
"identifiers": [],
"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 Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.