BRIAN G BROWN NPI 1023098167

NPI Information

NPI: 1023098167
Provider Name: BRIAN G BROWN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
384D CARRIAGE HOUSE DRIVE
JACKSON, TN
ZIP 38305
Phone: (731) 256-2006
Get Directions

Brian G Brown is a psychiatric/mental health and adult registered nurse in Jackson, TN. Brian G Brown NPI is 1023098167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

384D CARRIAGE HOUSE DRIVE
JACKSON, TN
ZIP 38305-268
Phone: (731) 256-2006
Fax: (731) 256-2007

The NPI 1023098167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN0000108574	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3901452	MEDICAID	TENNESSEE
2	3901456	MEDICARE PIN	TENNESSEE
3	3901456	MEDICAID	TENNESSEE
4	S64113	MEDICARE UPIN	TENNESSEE
5	3901454	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MPAC MEDICARE PROVIDER #
6	3901457	OTHER	TENNESSEE	MEDICARE SYMED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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