Individual ProviderDana Steven BrownFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address208 Lynn Garden Dr, Kingsport, TN 37660-3171(423) 247-8811PECOS EnrollmentBased on the most recent information from CMS, provider Dana Steven Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821171042Provider TypeIndividualFull NameBrown, Dana StevenTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/23/2006Last Updated6/15/2011Contact InformationPractice LocationPractice Address208 Lynn Garden Dr, Kingsport, TN 37660-3171Phone(423) 247-8811Fax(423) 247-5864Mailing LocationMailing Address208 Lynn Garden Dr, Kingsport, TN 37660-3171Phone(423) 247-8811Fax(423) 247-5864Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense19265TennesseeProvider IdentifiersIDDescriptionIssuerID1517960DescriptionOtherIssuerGROUP MEDICAIDTennesseeID1831330067DescriptionOtherIssuerGROUP NPITennesseeID33456911DescriptionOtherIssuerGROUP MEDICARETennessee