Provider Demographics
NPI:1871556118
Name:BROWN, JAMES ALLEN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 EXECUTIVE DRIVE
Mailing Address - Street 2:ST B
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541
Mailing Address - Country:US
Mailing Address - Phone:434-792-5964
Mailing Address - Fax:434-792-5971
Practice Address - Street 1:159 EXECUTIVE DRIVE
Practice Address - Street 2:ST B
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:434-792-5964
Practice Address - Fax:434-792-5971
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA037266208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7308345Medicaid
VA393484OtherANTHEM
VA393484OtherANTHEM