Jerry W Brown, PHD is a
Counselor - Professional based in Albuquerque, New Mexico. Jerry W Brown is licensed to practice in New Mexico (license number 2389) and his current practice location is
6300 Riverside Plaza Ln Nw, Suite 100, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 400-7282.
NPI number for Jerry W Brown is 1467591289 and his current mailing address is Po Box 94508, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467591289.
Healthcare Provider's Profile
Full Name | Jerry W Brown |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 6300 Riverside Plaza Ln Nw, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467591289
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 05/11/2017
Medical Identifiers
Medical identifiers for Jerry W Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467591289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2389 (New Mexico) | Secondary |
101YP2500X | Counselor - Professional | 2389 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry W Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jerry W Brown, PHD Po Box 94508, Albuquerque, NM 87199-4508 Ph: (505) 400-7282 | Jerry W Brown, PHD 6300 Riverside Plaza Ln Nw, Suite 100, Albuquerque, NM 87120-2617 Ph: (505) 400-7282 |
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