ADDISON Q BROWN MD
NPI 1144910803
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since May 08, 2023PECOS Enrolled
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Addison Q Brown Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADDISON Q BROWN MD (NPI 1144910803) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144910803
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADDISON Q BROWNCredential: MD
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4717
Mailing Address2627 Riverside AveJacksonville, FL 32204-4717 · (904) 308-7372
Sole ProprietorYes
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
NPI 1144910803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2627 RIVERSIDE AVE, Jacksonville, FL 32204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Addison Q Brown Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Obstetrics & Gynecology
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Pediatrics
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144910803, enumerated as an "individual" on May 08, 2023.

The provider is located at 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 and the phone number is (904) 308-7372.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.