Individual provider Active NPI

Madison Elizabeth Moore Brown

  • Medical Physician Assistant
  • Dendron, VA
National Provider Identifier
1992181036
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005009 Issued in VA
Practice address
440 Colonial TRL W
Dendron, VA 23839-2205
Phone
(757) 294-3981
NPI assigned
Jul 30, 2015
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102001425 VA Practitioner - Physician Assistant 3072815190 Reassigns benefits to 1 organization

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
Horizon Health Services IncGroup PAC ID 1153232749, 7 clinicians

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

LicenseStateTypeSpecialty
0110005009VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurorehabilitation Services CurrentSince Jul 1, 2023 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.