Active NPI
Gregory Lee Brown Jr.
- Counselor
- Salisbury, MD
National Provider Identifier
1891337101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1813 Sweetbay Dr
Salisbury, MD 21804-1663 - Phone
- (410) 219-5483
- Fax
- (410) 219-5486
- NPI assigned
- Oct 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1813 Sweetbay Dr
Salisbury, MD 21804-1663
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015
Other practice location 1
12145 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-2204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140897600 | Medicaid | MD | |
| 140897601 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1891337101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1978",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021978",
"telephone_number": "410-749-1015",
"fax_number": "410-749-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 SWEETBAY DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041663",
"telephone_number": "410-219-5483",
"fax_number": "410-219-5486"
}
],
"practiceLocations": [
{
"address_1": "12145 Elm St",
"address_purpose": "LOCATION",
"city": "Princess Anne",
"state": "MD",
"postal_code": "218531358",
"country_code": "US",
"telephone_number": "410-651-2204",
"fax_number": "410-651-0790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140897600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140897601",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.