Active NPI
Brown Family Medical Mobile Services
- Health Service Clinic/Center
- Whitsett, NC
National Provider Identifier
1720730187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- BROWN FAMILY MEDICAL MOBILE SERVICES
- Practice address
- 503 Hawthorn Ridge Dr
Whitsett, NC 27377-9345 - Phone
- (336) 753-3215
- NPI assigned
- Jan 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vashonda Ann Foust-Brown, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (336) 269-7803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
503 Hawthorn Ridge Dr
Whitsett, NC 27377-9345
Mailing address
806 Green Valley Rd Ste 200
Greensboro, NC 27408-7076
Phone (336) 753-3215
Other names 1
- Brown Family Medical Mobile Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1720730187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 GREEN VALLEY RD STE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087076",
"telephone_number": "336-753-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 HAWTHORN RIDGE DR",
"city": "WHITSETT",
"state": "NC",
"postal_code": "273779345",
"telephone_number": "336-753-3215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWN FAMILY MEDICAL MOBILE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-26",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "FOUST-BROWN",
"authorized_official_first_name": "VASHONDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-269-7803",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brown Family Medical Mobile Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Whitsett, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.