Provider Demographics
NPI:1245224369
Name:BROWNLEE, WILLIAM JAMES III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:BROWNLEE
Suffix:III
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 1:1809 REDWOOD TER NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1022
Mailing Address - Country:US
Mailing Address - Phone:202-291-5557
Mailing Address - Fax:202-832-3476
Practice Address - Street 1:1160 VARNUM ST NE
Practice Address - Street 2:SUITE 300-B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2107
Practice Address - Country:US
Practice Address - Phone:202-526-0200
Practice Address - Fax:202-832-3476
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21292208600000X, 2086S0102X, 2086S0127X, 2086X0206X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
H24223Medicare UPIN
DCG00731Medicare ID - Type Unspecified
DCOOOA912W31Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL