Willie Brown

Individual provider Active NPI Driver · Florence, SC

NPI 1487597332 · NPPES record last updated Apr 13, 2026

Key facts

NPI
1487597332
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
007386278 (SC)
Practice address
3040 Trent Dr
Florence, SC 29505-7418
Phone
(980) 999-0158
NPI assigned
Apr 13, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007386278SCMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
172A00000X 007386278 SC Yes

Addresses

Primary practice location

3040 Trent Dr
Florence, SC 29505-7418

Mailing address

3040 Trent Dr
Florence, SC 29505-7418
Phone (980) 999-0158

Other names

  • BJ Brown Other name

Other providers in Florence, SC

All providers in Florence, SC · Driver in South Carolina

Sources for this page

Verify at the official NPI Registry.