Individual provider Active NPI

Rene L Brown, DO

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1598028896
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDO37609 Issued in SC
Practice address
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone
(276) 523-3111
NPI assigned
Jun 21, 2012
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDO37609 SC Primary

Addresses

Primary practice location

1990 Holton Ave E
Big Stone Gap, VA 24219-3350

Mailing address

PO Box 5158
Spartanburg, SC 29304-5158
Phone (864) 582-2817

Other practice location 1

2746 Boiling Springs Rd
Boiling Springs, SC 29316-6003
Phone (864) 586-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915002873 SC Practitioner - Family Practice 4082921630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

1467 Woodruff Rd
Suite C
Greenville, SC 29607-6505
Phone (864) 458-8126

2746 Boiling Springs Rd
Boiling Springs, SC 29316-6003
Phone (864) 757-5059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MDO37609SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Jul 29, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Jul 18, 2015 Accepting new patients
Anmed Health Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Arctic Slope Native Association LTD CurrentSince Jun 14, 2017 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Regenesis Organization Community Health Center Family Medicine CurrentSince Jul 18, 2015 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Woodruff Road Urgent Care Center, P.C. CurrentSince Oct 1, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Anmed Health Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

2746 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 586-3923

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

Interoperability endpoints

  • Direct secure messaging: rbrown28938@direct.anmedhealth.net

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1598028896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158",
            "telephone_number": "864-582-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOLTON AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193350",
            "telephone_number": "276-523-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2746 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293166003",
            "country_code": "US",
            "telephone_number": "864-586-3923",
            "fax_number": "864-586-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RENE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MDO37609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.