Provider Demographics
NPI:1699803940
Name:BROWN, WILLIAM AUGUSTUS JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:AUGUSTUS
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:620 JOHN PAUL JONES CIRCLE
Mailing Address - Street 2:HEART AND VASCULAR INSTITUTE, NMCP BLD 2, 2ND FLOOR
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2197
Mailing Address - Country:US
Mailing Address - Phone:757-953-3459
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN PAUL JONES CIRCLE
Practice Address - Street 2:HEART AND VASCULAR INSTITUTE, NMCP BLD 2, 2ND FLOOR
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2197
Practice Address - Country:US
Practice Address - Phone:757-953-3459
Practice Address - Fax:757-809-1468
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2024-08-02
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Provider Licenses
StateLicense IDTaxonomies
VA01012321592086S0129X
GA0566902086S0129X, 2085R0204X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010048001Medicaid
VAH60741Medicare UPIN
VAH60741Medicare UPIN