Provider Demographics
NPI:1437185485
Name:BROWN, SHERRY BERNITA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:BERNITA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13912 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2631
Mailing Address - Country:US
Mailing Address - Phone:252-395-2946
Mailing Address - Fax:
Practice Address - Street 1:13911 ST FRANCIS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3256
Practice Address - Country:US
Practice Address - Phone:804-320-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600542207Q00000X
FLME134131207Q00000X
ARE-10980207Q00000X
WV27907207Q00000X
SC51659207Q00000X
TN56603207Q00000X
GA79190207Q00000X
OH35.132574207Q00000X
NH18511207Q00000X
KY50834207Q00000X
DCMD045642207Q00000X
VA0101259418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8934701Medicaid
NCG22329Medicare UPIN
NCG22329Medicare UPIN