GARY BROWN (NPI# 1396200424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396200424 |
| Entity Type | Organization |
| Organization Name | GARY BROWN |
| Practice Address |
302 Broadway St Martin TN 38237-2455 |
| Practice Telephone | 7315870600 |
| Practice Fax Number | 7315870600 |
| Mailing Telephone | 7315870600 |
| Mailing Fax Number | 7315870600 |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2019-02-02 |
| Authorized Official Name | LISA KAY PAGE (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7316933465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q032646 | 05 |
| Other Name | Type Code |
|---|---|
| CHILDREN'S TREATMENT CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | GARY BROWN | 6670 Goldfield Dr., Suite #101, Colorado Springs, CO 80911 |
| Indiana Business Entities | GARY BROWN COMMUNICATIONS CONSULTING LLC | 8635 Green Branch Lane, Indianapolis, IN 46256 |
| Ohio Business Entities | GARY BROWN FARM & SAWMILL, LLC | 3575 State Route 348, Otway, OH 45657 |
| Colorado Business Entities | Gary Brown, D.O., P.C. | 2141 N. Academy Circle, Colorado Springs, CO 80909 |
| Colorado Business Entities | GARY BROWN, P.C. | 4775 Neeper Valley Road, Manitou Springs, CO 80829 |
| Street Address |
302 BROADWAY ST |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184115149 | Chasnie Thompson | Speech-Language Pathologist | 302 Broadway St, Martin, TN 38237-2455 | 2018-05-25 |
| 1225151129 | Gary Eugene Brown | Psychologist | 302 Broadway St, Martin, TN 38237-2455 | 2007-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225151129 | Gary Eugene Brown | Psychologist | 302 Broadway St, Martin, TN 38237-2455 | 2007-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351766 | Superior Residential Solutions, LLC | Psychologist | 5225 Rocky Ford Ln, Arlington, TN 38002-4833 | 2018-09-25 |
| 1265681936 | Paul R. Malanga | Psychologist | 9395 Garden Woods Dr, Cordova, TN 38016-4729 | 2008-09-17 |
| 1194999615 | Nicole Marie Bichelman | Psychologist | 862 Winterfields Dr., Cordova, TN 38018-7965 | 2008-04-15 |
| 1700071651 | Timothy Cripps | Psychologist | 1778 Penshurst Dr, Collierville, TN 38017-9104 | 2007-09-12 |
| 1770776858 | Carrie Peacock | Psychologist | 1155 Cully Rd, Cordova, TN 38018-8502 | 2007-08-22 |
| 1801007984 | David H. Craig | Psychologist | 202 Sunnymeade Dr, Columbia, TN 38401-5225 | 2007-05-24 |
| 1689796500 | Liming Zhou | Psychologist | 6117 Lamb Woods Dr, Bartlett, TN 38135-9256 | 2007-04-03 |
| 1629108642 | George Elliott Zukotynski | Psychologist | 3229 Nolen Ln, Franklin, TN 37064-6222 | 2007-03-07 |
| 1053446757 | Kenneth Michael Macurik | Psychologist | 3543 Philwood Ave, Memphis, TN 38122-4557 | 2007-02-22 |
| 1841346095 | Maurice Butler Jr. | Psychologist | 4942 Noel Mission Dr, Memphis, TN 38125-4783 | 2007-01-27 |
| 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.