Organization Active NPI

Reginald V Brown MD

  • Basic Emergency Medical Technician
  • Augusta, GA
National Provider Identifier
1831370709
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
040875 Issued in GA
Legal business name
REGINALD V BROWN MD
Practice address
2035 Central Ave
Augusta, GA 30904-4178
Phone
(706) 855-0653
Fax
(706) 855-2253
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Reginald V Brown, MDNPI 1801848304
Title
Doctor
Phone
(706) 855-6064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 040875 GA Primary

Addresses

Primary practice location

2035 Central Ave
Augusta, GA 30904-4178

Mailing address

2035 Central Ave
Augusta, GA 30904-4178
Phone (706) 855-0653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000035 GA Part B Supplier - Clinic/Group Practice 3870682826 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0950342Reginald V Brown MD2035 Central Avenue, Augusta, GA 30904Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

2035 Central Ave
Augusta, GA 30904
Phone (706) 738-7977

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1831370709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044178",
            "telephone_number": "706-855-0653",
            "fax_number": "706-855-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044178",
            "telephone_number": "706-855-0653",
            "fax_number": "706-855-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD V BROWN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-855-6064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "GA",
            "license": "040875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.