Jerry W Brown (NPI# 1265545412, PAC ID# 9032248521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1265545412 |
| PAC ID by PECOS | 9032248521 |
| Professional Enrollment ID | I20100520001040 |
| Full Name | Jerry W Brown |
| Address |
1390 State Route F Waynesville MO 65583-2827 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1390 State Route F, Waynesville, MO 65583-2827 |
| Street Address |
1390 STATE ROUTE F |
| City | WAYNESVILLE |
| State | MO |
| Zip | 65583-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Sammy L Radcliff | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Kimberly D Bohlmann | Family Practice | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Shane R Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Amanda F Brumley | Clinical Social Worker | Benton Street Counseling LLC | 119 N Benton St, Waynesville, MO 65583-2501 |
| Ma Teresa Sison Enciso | Physical Therapy | Ma Teresa Sison Enciso Pt PC Corp | 124 Ichord Ave, Waynesville, MO 65583-5406 |
| City | WAYNESVILLE |
| Zip Code | 65583 |
| Specialty | OPTOMETRY |
| City + Specialty | WAYNESVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry W Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.