Brown, Bertram Maxwell

Brown, Bertram Maxwell is an individual health care provider with primary practice located at 306 Carriage House Ct , Hopewell VA 23860-4166. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Brown, Bertram Maxwell can be contacted via phone (804) 822-1013.

Contact Information

Primary practice address
306 Carriage House Ct Hopewell VA 23860-4166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000573 Virginia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000573 Virginia
Eye and Vision Services Providers / Occupational Vision 152WX0102X 0618000573 Virginia

Profile Details

NPI number 1902988512
LBN Legal business name Brown, Bertram Maxwell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Oct 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902988512 NPPES
Virginia MEDICAID 009233237

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