Provider Demographics
NPI:1831441732
Name:BROWN, ADAM LEWIS (MS, ATC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:LEWIS
Last Name:BROWN
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3209
Mailing Address - Country:US
Mailing Address - Phone:609-634-8723
Mailing Address - Fax:
Practice Address - Street 1:10900 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3209
Practice Address - Country:US
Practice Address - Phone:609-634-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00004302255A2300X
NJ25MT001770002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer