Willard Martin Brown III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38201 Issued in MA

Practice address

1985 Main St
304
Springfield, MA 01103-1095

Phone

(413) 736-5491

Fax

(413) 732-4504

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1679568984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HUMPHREY LN",
            "address_2": "102 HUMPHREY LANE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892282",
            "telephone_number": "413-781-2287",
            "fax_number": "413-732-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST",
            "address_2": "304",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031095",
            "telephone_number": "413-736-5491",
            "fax_number": "413-732-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLARD",
        "middle_name": "MARTIN",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "38201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Renee Brown, FNP
• Shaun Brown, LPN
• Shelley Jean Brown, LPN
• Tracey Michelle Brown
• Victoria Elizabeth Brown
• Kimberly A Browne-Martin, M.D.
• Shealynn Bree Browne
• Matthew D. Brownlie, LMHC, LADC I, CADC
• Frederic Brownstein, M.D.
• Kyle W Bruce, DPM

• Family Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.