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NPI Code Detail

MEDICARE: DR. ROBERT J BROWN M.D.

MEDICARE: DR. ROBERT J BROWN M.D.
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
1207V00000XObstetrics & Gynecology PhysicianR2H01MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316909872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J BROWN M.D.
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1475 KISKER RD STE 200
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63304-8788
Country : US
Telephone Number : 636-498-5870
Fax Number : 636-669-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 11/12/2020

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