Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Traesa A. Brown, MD

Individual provider Family Medicine Physician · NPI 1053407973

Traesa A. Brown, MD is a Family Practice in Vandalia, Ohio. Qualified in 2003, 23 years ago. Practices with Providence Medical Group, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
23
Licensed in
OH, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

400 Corporate Center Dr
Vandalia, OH 45377-1164
Phone: (937) 454-5296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 312 S McQueen St, Florence, SC 29501-4723 — (843) 799-2978

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35148567 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32486 (SC)

Record details

NPI number1053407973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address2912 Springboro W Ste 201, Moraine, OH 45439-1674

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Providence Medical Group — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vandalia