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
Phone: (804) 822-1013
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902988512 | NPPES |
Virginia | MEDICAID | 009233237 |
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