MEDICARE: GABRIEL HARRISON BROWN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	DR.0077757	CO
2	2084P0800X	Psychiatry Physician	344393	NY
3	2084P0800X	Psychiatry Physician	36632	WV
4	2084P0800X	Psychiatry Physician	ME182195	FL

General Provider Information

NPI Number	:	1316525298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL HARRISON BROWN MD

Provider Business Mailing Address
First Line	:	PO BOX 1386
Second Line	:
City	:	CEREDO
State	:	WV
Zip	:	25507-1386
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 CAPITOL ST STE 10
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2234
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	06/05/2026

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