Provider Demographics
NPI:1942204565
Name:BROWNING, PATRICIA M (DO)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:BROWNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24991-0010
Mailing Address - Country:US
Mailing Address - Phone:304-645-7872
Mailing Address - Fax:304-645-7873
Practice Address - Street 1:RT 219 NORTH
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:WV
Practice Address - Zip Code:24946
Practice Address - Country:US
Practice Address - Phone:304-653-4209
Practice Address - Fax:304-653-4233
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1876204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV51-1928OtherMEDICARE
WV1812421000Medicaid
H68456Medicare UPIN
WV51-1928OtherMEDICARE
WVBR4090091Medicare ID - Type UnspecifiedWV MEDICARE