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Deactivated NPI 1669936290 Deactivated / Inactive NPI Male Practitioner

Phillip J Brown

Driver • Virginia Beach, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phillip Brown has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 28, 2019
NPI Deactivation Date May 19, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Phillip Brown was a registered Driver practicing in Virginia Beach, VA. Throughout an active medical career spanning 1 years, Phillip Brown provided care at the practice location at 5962 EDGELAKE DR until profile deactivation on 2019-05-19.

Practice Location & Contact Primary Location

Practice Address

5962 Edgelake Dr

Virginia Beach, VA 234644904

Telephone 7573431931
Associated Practice Facility / Clinic
🏢 Kennedi Transport Llc Facility NPI 1154987709

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Virginia Beach, VA (655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License VA T62617395

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1548724172

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 19, 2019

Record deactivated on May 19, 2019

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NPI Profile Deactivated May 18, 2019

Record deactivated on May 18, 2019

NPI Profile Active January 28, 2019

NPI status registered as active in NPPES database

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Updated Practice Location January 28, 2019

Registered at 5962 EDGELAKE DR, VIRGINIA BEACH, VA 234644904 (Tel: 7573431931)

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Updated Business Mailing Address January 28, 2019

Registered at 5962 EDGELAKE DR, VIRGINIA BEACH, VA 234644904 (Tel: 7573431931)

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Provider Name / Credentials Updated January 28, 2019

Recorded as PHILLIP BROWN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2019

Driver (License #T62617395 in VA)

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Initial NPI Registration & Enumeration January 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669936290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2019
Last Update: January 28, 2019
Deactivation Date: May 19, 2019

Mailing Address

5962 Edgelake Dr

Virginia Beach, VA 234644904

Phone: 7573431931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.