Provider Demographics
NPI:1932164209
Name:BROWN, THOMAS W III (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:BROWN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2707 CITICO AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-3402
Mailing Address - Country:US
Mailing Address - Phone:423-624-8588
Mailing Address - Fax:423-622-3069
Practice Address - Street 1:2707 CITICO AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-3402
Practice Address - Country:US
Practice Address - Phone:423-624-8588
Practice Address - Fax:423-622-3069
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000020236207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB63062Medicare PIN
TN3050514Medicare UPIN