Paul Q Brown, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

618 4TH St
Williamsburg, VA 23185-5815

Phone

(757) 887-7455

NPI assigned

May 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841635836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557A BALLARD DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 4TH ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855815",
            "telephone_number": "757-887-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "Q",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "1841635836",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jedadiah Marquee Brown
• Jordan Brown
• Jurica Palisa Brown, LCSW
• Madeline Hazel Brown, PT
• Pamala Brown, EDD, BCMHC
• Shelly Marie Brown, FNP-C
• Tabitha Brown
• Tiffany M Brownfiel
• Bruce Mayer, MD PC
• Jana Brultz, LPC

• Independent Duty Corpsman in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.