1St Choice Multi Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18711 Issued in MS

Legal business name

1ST CHOICE MULTI MEDICAL

Practice address

151 S Houston Lake Rd
Suite 110
Warner Robins, GA 31088-6399

Phone

(478) 333-3026

NPI assigned

Sep 29, 2014

Organization subpart

No

Name

Dr. Bennie Lee Brown Jr., D.O.

Title

Ceo

Phone

(229) 395-1253

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2014.

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1508269028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S HOUSTON LAKE RD",
            "address_2": "SUITE 110",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886399",
            "telephone_number": "478-333-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S HOUSTON LAKE RD",
            "address_2": "SUITE 110",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886399",
            "telephone_number": "478-333-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE MULTI MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-395-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08636876",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Warner Robins, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.