Provider Demographics
NPI:1356320881
Name:BROWN, JOSEPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16000 JOHNSTON MEMORIAL DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211
Mailing Address - Country:US
Mailing Address - Phone:276-258-3600
Mailing Address - Fax:276-258-3605
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211
Practice Address - Country:US
Practice Address - Phone:276-258-3600
Practice Address - Fax:276-258-3605
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-234846207RG0100X
VA0101234846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010134137Medicaid
VAP01245226OtherRAILROAD MEDICARE
TNQ003375Medicaid
VA1356320881Medicaid
D07448Medicare UPIN
VA1356320881Medicaid