Individual provider Active NPI

Robert C Brown

  • Independent Duty Corpsman
  • Norfolk, VA
National Provider Identifier
1598724684
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
8857 1St St Ste 400
DDG Classron-Ehslant
Norfolk, VA 23511-3713
Phone
(757) 445-7255
Fax
(757) 445-3088
NPI assigned
Mar 20, 2006
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

8857 1St St Ste 400
DDG Classron-Ehslant
Norfolk, VA 23511-3713

Mailing address

DDG Classron
8857 First Street, Suite 400
Fpo, AE 23511
Phone (757) 445-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1598724684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "DDG CLASSRON",
            "address_2": "8857 FIRST STREET, SUITE 400",
            "city": "FPO",
            "state": "AE",
            "postal_code": "23511",
            "telephone_number": "757-445-7255",
            "fax_number": "757-445-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 1ST ST STE 400",
            "address_2": "DDG CLASSRON-EHSLANT",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235113713",
            "telephone_number": "757-445-7255",
            "fax_number": "757-445-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.