Provider Demographics
NPI:1972786556
Name:FRANCES A BERRY-BROWN MD
Entity Type:Organization
Organization Name:FRANCES A BERRY-BROWN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BERRY-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-762-1144
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-0786
Mailing Address - Country:US
Mailing Address - Phone:931-762-1144
Mailing Address - Fax:931-766-0045
Practice Address - Street 1:233 E GAINES ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-3367
Practice Address - Country:US
Practice Address - Phone:931-762-1144
Practice Address - Fax:931-766-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD18320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3375727Medicaid
TNE40665Medicare UPIN
TN3375727Medicaid
TNP00187784Medicare PIN
3044116Medicare PIN