MR. TRACY MED BROWN JR. (NPI# 1770724312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770724312 |
| Entity Type | Individual |
| Full Name | MR. TRACY MED BROWN JR. |
| Credential | EMT-P |
| Practice Address |
Bldg. 301 Andrew's Ave Lyster Army Health Clinic Ft. Rucker AL 36362-5333 |
| Mailing Address |
Building 301 Andrews Ave Lyster Army Health Clinic Fort Rucker AL 36362-5333 |
| Practice Telephone | 3342552456 |
| Mailing Telephone | 3342550456 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 0500201 | AL | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463989 | Tracy Brown | Counselor | 1255 Peart St, Ste 102, Eugene, OR 97401 | 2017-05-02 |
| 1710339502 | Tracy Catherine Brown | Licensed Practical Nurse | 3364 Baychester Ave, Bronx, NY 10475-1514 | 2016-07-06 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1801174917 | Tracy R Brown | Registered Nurse | 127 Weeks Rd, North Babylon, NY 11703-3219 | 2011-07-25 |
| 1245532365 | Tracy R. Brown | Day Training, Developmentally Disabled Services | 5210 Lapalco Blvd, Sutie E/f, Marrero, LA 70072-4269 | 2010-11-22 |
| 1659519213 | Tracy Ann Brown | Speech-Language Pathologist | 7201 N Classen Blvd Ste 106, Oklahoma City, OK 73116-7123 | 2009-02-04 |
| 1871506345 | Tracy E Brown | Dietitian, Registered | 11 Nw 33rd Ct, Gainesville, FL 32607-2552 | 2006-08-14 |
| 1942228218 | Tracy Hampton Brown | Physical Therapist | 173 Wistar Rd, Fairless Hills, PA 19030-4007 | 2006-07-17 |
| 1255960118 | Tracy Lemont Brown | Counselor | 100 Diecks Dr, Elizabethtown, KY 42701-2443 | 2020-04-03 |
| 1205392438 | Tracy Lee Brown | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-02-12 |
| Street Address |
BLDG. 301 ANDREW'S AVE LYSTER ARMY HEALTH CLINIC |
| City | FT. RUCKER |
| State | AL |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538485040 | Billy Gerome Chancey | Emergency Medical Technician, Paramedic | Bldg 8450, 2nd Ave, Ft. Rucker, AL 36362 | 2010-04-09 |
| 1295057305 | Charles Edward Chormicle | Emergency Medical Technician, Paramedic | Bldg. 301, Andrews Ave., Ft. Rucker, AL 36362-5333 | 2010-02-17 |
| 1770711517 | John Gregory Albritton | Emergency Medical Technician, Paramedic | Bldg. 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2009-07-01 |
| 1487823993 | Robert P Crosby | Emergency Medical Technician, Paramedic | Bldg 301 Andrews Ave, Ft. Rucker, AL 36362-5333 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276650 | Jeremiah Jones | Emergency Medical Technician, Paramedic | 3140b Jones Rd, Coden, AL 36523-3488 | 2016-02-24 |
| 1770830960 | Dewayne Carl Haverstick | Emergency Medical Technician, Paramedic | 453 South Novacel Dr, Fort Rucker, AL 36362 | 2012-08-07 |
| 1124339288 | James Farris Lynn Washington | Emergency Medical Technician, Paramedic | 453 S Novasel St, Fort Rucker, AL 36362-5109 | 2010-06-23 |
| 1720304454 | Stephen L Demeter | Emergency Medical Technician, Paramedic | 8360 3rd Ave, Fort Rucker, AL 36362-2025 | 2010-04-20 |
| 1659513240 | Seretha Rhodes Robinson | Emergency Medical Technician, Paramedic | Bldg 8360 Third Ave, Ft Rucker, AL 36362 | 2009-03-30 |
| 1922249549 | Fred Roland Shehee | Emergency Medical Technician, Paramedic | 79 Private Road 1703, Enterprise, AL 36330-6374 | 2009-03-11 |
| 1558526889 | David George Lambert | Emergency Medical Technician, Paramedic | Bldg 301 A Andrews Ave, Fort Rucker, AL 36362 | 2008-07-25 |
| 1598933806 | Mark William Davis | Emergency Medical Technician, Paramedic | Andrews Ave., Building 301, Fort Rucker, AL 36362 | 2008-02-20 |
| 1902074594 | Christy D Skipper | Emergency Medical Technician, Paramedic | 908 N Broad St, Cowarts, AL 36321-5607 | 2008-02-15 |
| 1528071057 | Rocky Ridge Fire District | Emergency Medical Technician, Paramedic | 2911 Metropolitan Way, Birmingham, AL 35243-2943 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
| City | FT. RUCKER |
| Zip Code | 36362 |
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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.