Priscilla Denise Brown

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

38200 3Rd Ave
Fort Gordon, GA 30905

Phone

(678) 598-0022

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1417508995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 WINDSOR SPRING RD APT 55",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157158",
            "telephone_number": "678-598-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38200 3RD AVE",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "678-598-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Windsor Spring Rd Apt 55",
            "address_purpose": "LOCATION",
            "city": "Hephzibah",
            "state": "GA",
            "postal_code": "308157158",
            "country_code": "US",
            "telephone_number": "678-598-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PRISCILLA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Davis Brown, LPN
• Calvin Arthur Brown, DDS
• Katherine M. Brown, OTR/L
• Krista L Brown, DSC, OTR/L, CHT
• Melody Kim Brown, RN
• Radisha Brown
• Tao Brown
• Aiden Brummett, PA-C
• Gary Brunson, RN
• Lucas Allen Bryant, DO

• Prosthetic/Orthotic Supplier in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.