MEDICARE: PHILLIP WILLIAM BROWN D.P.M

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	390200000X	Student in an Organized Health Care Education/Training Program
2	213E00000X	Podiatrist	SC006802	PA

General Provider Information

NPI Number	:	1386058147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP WILLIAM BROWN D.P.M

Provider Business Mailing Address
First Line	:	923 TANGLEWOOD DR
Second Line	:
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-2274
Country	:	US
Telephone Number	:	412-508-0917
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 LIBRARY RD
Second Line	:
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-3333
Country	:	US
Telephone Number	:	412-831-1515
Fax Number	:	412-831-2115

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

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	02/19/2020

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