Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101245167 | VA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101245167 | VA |
NPI | 1700027026 |
---|---|
Provider Name | Dr. Michael Heath Brown |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | Richmond, VA 23226-1935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2009 |
Last Update Date | 18/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1700027026 | (05) | VA |
P00800213 | RR MEDICARE (01) | VA |