Deoiz Brown Sr.

Key facts

NPI

1548084627

Entity type

Individual (NPI type 1)

Primary specialty

Health Maintenance Organization 302R00000X

Practice address

16104 Parasol Tree PL Apt 102
Charlotte, NC 28278-7473

Phone

(330) 622-0630

NPI assigned

Nov 14, 2024

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 14, 2024.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1548084627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16104 PARASOL TREE PL APT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787473",
            "telephone_number": "330-622-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16104 PARASOL TREE PL APT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787473",
            "telephone_number": "330-622-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEOIZ",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

• Connie Yvonne Brown
• Cortlyn Wilhelmina Brown, MD
• Dadrian Brown
• Danielle Renee Brown, CRNA
• Deneen R Brown, LPC-A
• Dierra R Brown
• Dorothea Elizabeth Brown, RN
• Ebony Shante Brown, LCSWA
• Echo Brown, NP
• Erica Brown

All providers in Charlotte, NC · Health Maintenance Organization in North Carolina