Provider Demographics
NPI:1467738930
Name:VAL J BROWN JR MD PA
Entity Type:Organization
Organization Name:VAL J BROWN JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-858-2002
Mailing Address - Street 1:1035 N EMPORIA ST STE 280
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2939
Mailing Address - Country:US
Mailing Address - Phone:316-858-2000
Mailing Address - Fax:316-858-2003
Practice Address - Street 1:1035 N EMPORIA ST STE 280
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2939
Practice Address - Country:US
Practice Address - Phone:316-858-2000
Practice Address - Fax:316-858-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00615202OtherRR MEDICARE
P00615202OtherRR MEDICARE
100743Medicare PIN