Individual
DR. BERTRAM MAXWELL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
306 CARRIAGE HOUSE CT, HOPEWELL, VA 23860-4166
(804) 822-1013
Mailing address
306 CARRIAGE HOUSE CT, HOPEWELL, VA 23860-4166
(804) 822-1013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000573
VA
152WC0802X
Corneal and Contact Management Optometrist
0618000573
VA
152WX0102X
Occupational Vision Optometrist
0618000573
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009233237
—
VA
Enumeration date
10/20/2006
Last updated
10/24/2013
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