Wendy Thomas Brown in Grand Rapids - Pediatric Radiology
Wendy Thomas Brown - NPI 1053398412
Wendy Thomas Brown is a Pediatric Radiology in Grand Rapids, Michigan. Wendy Thomas Brown practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Wendy Thomas Brown is 1053398412. The last update date is 2020-07-29.
Wendy Thomas Brown's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637272 and fax number 6163615828. The mailing address for Wendy Thomas Brown is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Thomas Brown |
|---|---|
| Address | 3264 N Evergreen Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163637272 |
| Fax Number | 6163615828 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053398412 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2020-07-29 |
Provider Mailing Address Detail
| Address | 3264 N Evergreen Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259746 |
| Phone Number | 6163637272 |
| Fax Number | 6163615828 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 101052989 |
|
Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10110018 | VA | OPTIMA HEALTH PLAN | |
| 10110018 | VA | SENTARA HEALTH PLAN | |
| 180AF | NC | BCBSNC | |
| 1053398412 | VA | VA PREMIER HEALTH PLAN | |
| 1053398412 | NC | -- | |
| 1053398412 | VA | -- | |
| 1053398412 | VA | TRICARE PRIME NETWORK | |
| P01206178 | VA | RAILROAD MEDICARE | |
| 139178 | VA | BCBSVA | |
| 5512875 | VA | AETNA HEALTHCARE |
Post Comment/ Review Below
What is the Wendy Thomas Brown's unique identification number?
The Wendy Thomas Brown has been assigned the NPI (National Provider Identifier) Number 1053398412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Wendy Thomas Brown is physically located?
The Wendy Thomas Brown is situated at the following address: 3264 N Evergreen Dr Ne, Grand Rapids, MI 495259746.
What is Wendy Thomas Brown's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wendy Thomas Brown's specialized field of practice is Pediatric Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085P0229X.
On what date did Wendy Thomas Brown receive its 1053398412 assignment from the Centers for Medicare & Medicaid Services?
The Wendy Thomas Brown was assigned its 1053398412 on 2005-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Wendy Thomas Brown's information last updated?
The Wendy Thomas Brown's information was last updated on 2020-07-29.