Organization Active NPI

Timothy a Brown MD PC

  • Dermatology Physician
  • Weirton, WV
National Provider Identifier
1487645388
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10935 Issued in WV
Legal business name
TIMOTHY A BROWN MD PC
Practice address
2619 Pennsylvania Ave Ste 2
Weirton, WV 26062
Phone
(304) 723-3090
Fax
(304) 723-2576
NPI assigned
Oct 31, 2005
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Timothy Alden Brown, MDNPI 1053436261
Title
President
Phone
(304) 723-3090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 10935 WV Primary

Addresses

Primary practice location

2619 Pennsylvania Ave Ste 2
Weirton, WV 26062

Mailing address

2619 Pennsylvania Ave Ste 2
Weirton, WV 26062-3777
Phone (304) 723-3090

National Provider Directory

National Provider Directory

Locations

2619 Pennsylvania Ave
Ste 2
Weirton, WV 26062
Phone (304) 723-0200

651 Colliers Way
Ste 505
Weirton, WV 26062
Phone (304) 723-3090

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1487645388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE STE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623777",
            "telephone_number": "304-723-3090",
            "fax_number": "304-723-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE STE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-3090",
            "fax_number": "304-723-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A BROWN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-723-3090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WV",
            "license": "10935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.