Provider Demographics
NPI:1275545188
Name:BROWN, JULIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:ORTHOEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:901 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3688
Mailing Address - Country:US
Mailing Address - Phone:757-275-7243
Mailing Address - Fax:757-275-7243
Practice Address - Street 1:736 BATTLEFIELD BLVD N
Practice Address - Street 2:CHESAPEAKE GENERAL HOSPITAL
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4941
Practice Address - Country:US
Practice Address - Phone:757-312-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101224645207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
251490OtherMAMSI
27739OtherOPTIMA
VA5841283Medicaid
NC89063T9Medicaid
930091446OtherMEDICARE RAILROAD
063T9OtherBLUE CROSS BLUE SHIELD NC
349682280OtherTRICARE
082480OtherBLUE CROSS BLUE SHIELD VA
3900570OtherOPTIMUM CHOICE
930091446OtherMEDICARE RAILROAD
930001747Medicare ID - Type Unspecified