William Trevor Brown Sr.

Primary specialty

DriverTaxonomy code 172A00000X

License

104470190 Issued in SC

Practice address

1050 Forbes Rd
Fort Mill, SC 29707-5515

Phone

(704) 293-2619

NPI assigned

Dec 18, 2019

Last updated

Dec 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Beckon of Hope

  • In Home Supportive Care Agency
  • Fort Mill, SC
  • NPI 1174067573
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1720626989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FORBES RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297075515",
            "telephone_number": "704-293-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FORBES RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297075515",
            "telephone_number": "704-293-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "SC",
            "license": "104470190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Brown, FNP
• David Alan Brown Jr., FNP
• Edward Charles Brown III, MD
• Robin D. Brown
• Shirley H Brown, LCSW
• Anisa Janine Browning-Chenault, PHARM.D, RPH
• Broyles Chiropractic and Sports Medicine PA
• Jonathan Cory Broyles, D.C.
• Jennifer Brunelli, MS, RD, LDN
• Sonya Bruster

• Driver in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Driver in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.