Brownsville Medical Clinic, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BROWNSVILLE MEDICAL CLINIC, P.A.

Practice address

3363 N Highland Ave
Jackson, TN 38305-3487

Phone

(731) 660-6828

Fax

(731) 660-6820

NPI assigned

Jan 12, 2007

Organization subpart

Yes

Parent organization

BROWNSVILLE MEDICAL CLINIC, P.A.As reported in NPPES

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

Authorized official

Name

Claudia White

Title

Administrator

Phone

(731) 660-6828

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Old Hickory Family Medicine Doing business as

Part of

Brownsville Medical Clini

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brownsville Medical Clinic, P.a.

  • Family Medicine Physician
  • Brownsville, TN
  • NPI 1659447696
  NPPES parent name

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1508916206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053487",
            "telephone_number": "731-660-6828",
            "fax_number": "731-660-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053487",
            "telephone_number": "731-660-6828",
            "fax_number": "731-660-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE MEDICAL CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWNSVILLE MEDICAL CLINIC, P.A.",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-660-6828"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD8895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386790",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156270",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Hickory Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Deaunta Brown, RBT
• Travis Brown
• Willie M Brown Jr., CRNA
• Lisa Dawn Browning, CASE MANAGER
• Brownsix LLC
• Becky Bruce, NP
• Michael W Brueggeman, M.D.
• Gregory Carl Bruno, MD
• Joel D Brunson, APN
• Courtney Brush, APRN, FNP

• Specialist in Jackson, TN
• Providers in Jackson, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.