Individual
BARRY S BROWN
Active
Individual
BARRY S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01022051576
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060231
—
VA
01
—
1064491
WV COMP-BRICKSTREET
WV
01
—
116856
ANTHEM
VA
01
—
241435
SOUTHERN HEALTH
VA
01
—
4960796
CIGNA
VA
01
—
5519989
FIRST HEALTH
VA
01
—
7079548
AETNA
VA
05
—
91622
—
WV
01
—
W48582
MTN ST BCBS
WV
Enumeration date
06/10/2005
Last updated
07/27/2021
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