Barrett Bolton Brown, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101047808 Issued in VA

Practice address

3289 Woodburn Road
Suite #220
Annandale, VA 22003

Phone

(703) 698-1080

Fax

(703) 698-1082

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfax Pathology Associates LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Falls Church, VA
  • NPI 1053311357
  NPD (past)
• Fairfax Pathology Associates, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Manassas, VA
  • NPI 1063438091
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1497755656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221322",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201531322",
            "telephone_number": "703-776-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN ROAD",
            "address_2": "SUITE #220",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-698-1080",
            "fax_number": "703-698-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BARRETT",
        "middle_name": "BOLTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101047808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006644732",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220018829",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdalena Krystyna Brier, MA
• Brightview Fairfax, LLC
• Julie Brintnall-Karabelas, MSW, LCSW-C
• Stella Brizuela-Moreno, PH.D.
• Kristin Brockler, PA-C
• Paulette Elizabeth Browne, M.D.
• Sofia Brycock
• Jacqueline Buarque de Macedo, LGSW, MSW
• Ethan H Bui, PHARMD
• Sidratu Aminata Bundu, FNP

• Anatomic Pathology & Clinical Pathology Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.