W L Brown Medical Corporation

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

W L BROWN MEDICAL CORPORATION

Practice address

1221 E Spruce Ave
C
Fresno, CA 93720-3374

Phone

(559) 265-4444

Fax

(559) 265-4454

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Willie L Brown Jr., MDNPI 1043300874

Title

President

Phone

(559) 265-4444

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willie Lee Brown Jr., MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1043300874
  Medicare reassignment Authorized official
• Anne Corcoran Wilkes, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Fresno, CA
  • NPI 1225063969
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1760479745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E SPRUCE AVE",
            "address_2": "C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203374",
            "telephone_number": "559-265-4444",
            "fax_number": "559-265-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E SPRUCE AVE",
            "address_2": "C",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203374",
            "telephone_number": "559-265-4444",
            "fax_number": "559-265-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W L BROWN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-265-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BROWN JR NPI NUMBER",
            "identifier": "1043300874",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT NURSE MIDWIFE",
            "identifier": "1002",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANNE WILKES NPI NUMBER",
            "identifier": "1225063969",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "A40710",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO29520",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB73144F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thien Kim Nguyen Vuong, O.D.
• VVG-RX
• Aleksandr Vydro, M.D.
• Leonid Vydro, M.D.
• VZS Inc (abbey medi van services)
• Morgan Wachter
• Chantel Marcel Wade
• Jessica Wade
• John S Wade, M.D.
• Lupe Wade

• Obstetrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.