Provider Demographics
NPI:1417933581
Name:BROWN, HUGH PEARCE (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:PEARCE
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 1:211 PRIMROSE WAY
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2538
Mailing Address - Country:US
Mailing Address - Phone:423-886-4047
Mailing Address - Fax:
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE C-220
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-266-3719
Practice Address - Fax:423-756-1307
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3170494Medicaid
TNAB8898302OtherDEA
TNAB8898302OtherDEA
TN3170495Medicare ID - Type Unspecified