Roddrick Graylin Brown

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

B650727790980 Issued in FL

Practice address

5820 Normandy Blvd
Jacksonville, FL 32205-6253

Phone

(904) 786-6047

Fax

(904) 786-6436

NPI assigned

Sep 16, 2011

Last updated

Sep 16, 2011By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Acumen Care Services, LLC

  dba Acumen Care Services

  • Adult Companion
  • Jacksonville, FL
  • NPI 1700436219
  NPD (past) Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1427330299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056253",
            "telephone_number": "904-786-6047",
            "fax_number": "904-786-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056253",
            "telephone_number": "904-786-6047",
            "fax_number": "904-786-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODDRICK",
        "middle_name": "GRAYLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "B650727790980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice M Brown, LMHC
• Pauline Phelan Brown, DC
• Rashad Armad Brown
• Robert Anthony Brown, PA-C
• Robert Brent Brown, PHARMD
• Rodrea Brown, LPN
• Roshawn Brown, MD
• Ryan Brown, MD
• Samuel E Brown, M.D.
• Sandra Brown, MS, OTR/L, BCBA

• Private Vehicle in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Private Vehicle in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.