ELLEN RENEE BROWN MD NPI 1154368447

NPI Information

NPI: 1154368447
Provider Name: ELLEN RENEE BROWN, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
184 HOLIDAY HILLS DR
PARKERSBURG, WV
ZIP 26104
Phone: (304) 420-2400
Get Directions

Ellen Renee Brown, MD is an addiction medicine family medicine in Parkersburg, WV. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Ellen Renee Brown, MD NPI is 1154368447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

184 HOLIDAY HILLS DR
PARKERSBURG, WV
ZIP 26104-006
Phone: (304) 420-2400
Fax: (304) 420-9014

The NPI 1154368447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35.099978	OHIO	No
2	207Q00000X	Family Medicine		21389	WEST VIRGINIA	No
3	207Q00000X	Family Medicine		042-0011212	VERMONT	No
4	207QA0401X	Family Medicine	Addiction Medicine	21389	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0075906	MEDICAID	OHIO
2	3810023925	MEDICAID	WEST VIRGINIA
3	1012998	MEDICAID	VERMONT
4	P01138126	OTHER	OHIO	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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