Timothy a Brown MD PC

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

Organization subpart

No

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

Authorized official

Name

Timothy Alden Brown, MD

Title

President

Phone

(304) 723-3090

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2133",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BC BS",
            "identifier": "001941456",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TI9369721",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009580",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yvonne Tolson-Myers, R.N., M.S.N.C-FNP
• Jeanne Tomanio, CRNA
• Abigail Toothman Hoyle, DO
• Roxanna Magalie Torres-Santiago, M.D.
• Boyd Edward Townsend Jr., RT(R)

• Dermatology Physician in Weirton, WV
• Providers in Weirton, WV by specialty
• Dermatology Physician in West Virginia

• 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.