Provider Demographics
NPI:1790762078
Name:BROWN, ALYCIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALYCIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1987
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-1987
Mailing Address - Country:US
Mailing Address - Phone:828-202-9765
Mailing Address - Fax:828-579-2764
Practice Address - Street 1:1760 NC HWY 105
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-2860
Practice Address - Country:US
Practice Address - Phone:828-202-9765
Practice Address - Fax:877-847-0561
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001014282084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC140C1OtherBCBS PROVIDER ID
H76014Medicare UPIN
NC2009058AMedicare PIN