Brown, Mary Gordon Buckingham

Brown, Mary Gordon Buckingham is an individual health care provider with primary practice located at 5875 Bremo Road Suite 501, Richmond VA 23226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Brown, Mary Gordon Buckingham can be contacted via phone (804) 282-9899.

Contact Information

Primary practice address
5875 Bremo Road Suite 501 Richmond VA 23226
Fax: (804) 282-2619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0024167127 Virginia

Profile Details

NPI number 1154470458
LBN Legal business name Brown, Mary Gordon Buckingham
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1154470458 NPPES
Virginia Other 097991 ANTHEM

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