MANUEL L BROWN JR. (NPI# 1114052677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114052677 |
| Entity Type | Individual |
| Full Name | MANUEL L BROWN JR. |
| Credential | M.D. |
| Practice Address |
1000 Neighborhood Pl Fairdale KY 40118-9697 |
| Mailing Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 8122188926 |
| Practice Fax Number | 8122188930 |
| Mailing Telephone | 8122188926 |
| Mailing Fax Number | 8122188930 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
16772 | KY | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
16772 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64167729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952479693 | Manuel L. Brown | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| Street Address |
1000 NEIGHBORHOOD PL |
| City | FAIRDALE |
| State | KY |
| Zip Code | 40118-9697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546119 | Family Health Centers, Inc. | Clinic/Center | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-05-18 |
| 1528587789 | Terrica Michelle Flowers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2017-09-19 |
| 1467636589 | Ieshia Miya Blakey | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-12-26 |
| 1932308855 | Amanda Calloway Phillips | Registered Nurse | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-07-11 |
| 1316072960 | Louisville-jefferson County Metro Government | Public Health or Welfare | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-02-23 |
| 1942231113 | Dona J Meers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952523805 | Mary Tyler Ewald | Dentist | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-02 |
| 1477688802 | Lousville-jefferson County Metro Government | Public Health or Welfare | 9110 National Turnpike, Fairdale, KY 40118 | 2007-02-23 |
| 1467520783 | Mosen Rashid Khani | Chiropractor | 10701 W. Manslick Rd., Fairdale, KY 40118 | 2006-12-04 |
| 1871715300 | Baughman & Ewald, P.s.c. | Point of Service | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-03 |
| 1700221124 | Andrea Edwards | Licensed Practical Nurse | 10107 Keys Ferry Rd, Fairdale, KY 40118-9033 | 2013-04-30 |
| 1174808984 | Shelley Lampe | Developmental Therapist | 10617 Jefferson Hill Rd, Fairdale, KY 40118-9042 | 2011-10-13 |
| 1336706860 | Keyonna Johnson | Social Worker | 227 Tex Ave, Fairdale, KY 40118-9103 | 2019-05-21 |
| 1447642020 | Towns Family Services, LLC | Home Health | 9409 Brown Austin Rd, Fairdale, KY 40118-9532 | 2015-02-19 |
| 1235615568 | Valeri Elzy | Massage Therapist | 10406 W Manslick Rd, Fairdale, KY 40118-9547 | 2018-07-19 |
| 1831255116 | Alliance Chiropractic of Se, LLC | Chiropractor | 10701 W Manslick Rd, Fairdale, KY 40118-9581 | 2006-12-29 |
| Find all providers in zip 40118 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363509 | The Well Wagon, LLC | Family Medicine | 2124 Dogoon Dr, Louisville, KY 40223-1147 | 2020-10-12 |
| 1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
| 1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
| 1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
| 1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
| 1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
| 1366607582 | Harold Douglass Crall | Family Medicine | 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 | 2008-07-28 |
| 1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
| 1912033929 | Gregory Edward Mick | Family Medicine | 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 | 2007-02-26 |
| 1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.