Active NPI
Madison Elizabeth Moore Brown
- Medical Physician Assistant
- Dendron, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110005009
- Practice address
- 440 Colonial TRL W
Dendron, VA 23839-2205 - Phone
- (757) 294-3981
- NPI assigned
- Jul 30, 2015
- Last updated
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110005009 | VA | Primary |
Addresses
Primary practice location
440 Colonial TRL W
Dendron, VA 23839-2205
Mailing address
440 Colonial TRL W Ste 205
Dendron, VA 23839-2205
Phone (747) 294-3981
Other practice location 1
7401 Beaufont Springs Dr.
Suite 205
Richmond, VA 23225
Phone (804) 272-0114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
344 W Main St
Waverly, VA 23890-3235
Phone (804) 834-8871
440 Colonial Trail W
Dendron, VA 23839-2205
Phone (757) 294-3981
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110005009 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Neurorehabilitation Services | Current | Accepting new patients | |
| Horizon Health Services Inc | Past | Accepting new patients |
Locations
7401 Beaufont Spring Dr
Ste 205
North Chesterfield, VA 23225
Phone (804) 272-0114
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ivor Medical Center
- Federally Qualified Health Center (FQHC)
- Ivor, VA
- NPI 1437378031
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- North Chesterfield, VA
- NPI 1275672073
-
dba Surry Medical Center
- Federally Qualified Health Center (FQHC)
- Dendron, VA
- NPI 1518137389
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours - Southside Medical Center
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
-
dba Riverside Smithfield Hospital
- General Acute Care Hospital
- Smithfield, VA
- NPI 1366259863
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1992181036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 COLONIAL TRL W STE 205",
"city": "DENDRON",
"state": "VA",
"postal_code": "238392205",
"telephone_number": "747-294-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 COLONIAL TRL W",
"city": "DENDRON",
"state": "VA",
"postal_code": "238392205",
"telephone_number": "757-294-3981"
}
],
"practiceLocations": [
{
"address_1": "7401 Beaufont Springs Dr.",
"address_2": "Suite 205",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23225",
"country_code": "US",
"telephone_number": "804-272-0114",
"fax_number": "804-272-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MADISON",
"middle_name": "ELIZABETH MOORE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110005009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dendron, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.