Active NPI
Elena Dimitrievna Brown, FIRST ASSISTANT
- Trauma Surgery Physician
- Easley, SC
National Provider Identifier
1457954745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 2086S0127X
- Practice address
- 305 Lena Dr
Easley, SC 29640-9648 - Phone
- (678) 559-4988
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2086S0129X | SC | |
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | 2086H0002X | SC | |
| Surgical Oncology Physician | 2086X0206X | 2086X0206X | SC | |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | 2088F0040X | SC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 208G00000X | SC | |
| Trauma Surgery Physician | 2086S0127X | 2086S0127X | SC | Primary |
Addresses
Primary practice location
305 Lena Dr
Easley, SC 29640-9648
Mailing address
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086H0002X | SC | MD | Hospice and Palliative Medicine (Surgery) Physician |
| 2086S0127X | SC | MD | Trauma Surgery Physician |
| 2086S0129X | SC | MD | Vascular Surgery Physician |
| 2086X0206X | SC | MD | Surgical Oncology Physician |
| 2088F0040X | SC | MD | Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician |
| 208G00000X | SC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1457954745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAINT FRANCIS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013955",
"telephone_number": "864-255-1073",
"fax_number": "864-255-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LENA DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296409648",
"telephone_number": "678-559-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ELENA",
"middle_name": "DIMITRIEVNA",
"credential": "FIRST ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "2086S0129X",
"primary": false
},
{
"code": "2086H0002X",
"taxonomy_group": "",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": "SC",
"license": "2086H0002X",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "SC",
"license": "2086X0206X",
"primary": false
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "SC",
"license": "2088F0040X",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "208G00000X",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "SC",
"license": "2086S0127X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.