Michael Zachary Brown, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

99476 Issued in TN

Practice address

102 N Broadway St
Johnson City, TN 37601-3525

Phone

(423) 588-9978

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dragonfly Medical and Behavioral Health Professsional Corporation

  dba Dragonfly Medical and Behavioral Health

  • Addiction Medicine (Family Medicine) Physician
  • Johnson City, TN
  • NPI 1689134231
  NPD
• Dragfonfly Wellness Center

  dba Dragonfly Medical and Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Johnson City, TN
  • NPI 1134689730
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1689381691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 BROWNS MILL RD APT 27",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041975",
            "telephone_number": "931-409-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013525",
            "telephone_number": "423-588-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "ZACHARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "99476",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "99476",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "99476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Brown, M.A.
• Martha Patton Brown, R.N.
• Mary Brown
• Matthew Robert Brown, M.D.
• Mattie Brown, MA
• Pamela Anne Brown, CCC-SLP
• Paul E Brown, MD
• Roberta Jan Brownlee, MA, LMFT
• Brad A Broyles
• Elevia Bruce

• Licensed Practical Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.