Provider Demographics
NPI:1851400758
Name:BROWN, THOMAS LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:LLOYD
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 1:1406 TUSCULUM BLVD
Mailing Address - Street 2:MOB 2, SUITE 1000
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745
Mailing Address - Country:US
Mailing Address - Phone:423-639-6848
Mailing Address - Fax:423-787-7210
Practice Address - Street 1:1406 TUSCULUM BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4341
Practice Address - Country:US
Practice Address - Phone:423-639-6848
Practice Address - Fax:423-787-7210
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35895207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN38749981Medicaid
TNH66553Medicare UPIN
TN38749981Medicare PIN