Individual provider Active NPI

Marcus Wendell Brown

  • Radiation Oncology Physician
  • Richmond, VA
National Provider Identifier
1669456570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101041905 Issued in VA
Practice address
1109 W Marshall St
Richmond, VA 23220-3835
Phone
(804) 257-7337
Fax
(804) 359-6898
NPI assigned
Dec 5, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101041905 VA Primary

Addresses

Primary practice location

1109 W Marshall St
Richmond, VA 23220-3835

Mailing address

1109 W Marshall St
Richmond, VA 23220-3835
Phone (804) 257-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20051230000127 VA Practitioner - Radiation Oncology 2264454552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Virginia Commonwealth University, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 1250
Richlands, VA 24641-0379
Phone (276) 963-0333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Apr 1, 2020 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Apr 1, 2020 Accepting new patients
Clinch Valley Urology, LLC Past Accepting new patients
Commonwealth Primary Care Past Accepting new patients
Infusion Solutions LLC PastSince Jun 1, 2020 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

6719 Governor Gc Peery Hwy
Ste 1250
Richlands, VA 24641
Phone (276) 596-6695

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Interoperability endpoints

  • Direct secure messaging: marcus.brown.1@19847.direct.athenahealth.com
  • Direct secure messaging: marcus.brown@vab.hcadirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669456570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203835",
            "telephone_number": "804-257-7337",
            "fax_number": "804-359-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203835",
            "telephone_number": "804-257-7337",
            "fax_number": "804-359-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARCUS",
        "middle_name": "WENDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101041905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.