MEDICARE: JOHN BROWNING 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
1	207Q00000X	Family Medicine Physician	23688	MS
2	207Q00000X	Family Medicine Physician	T-2649	MS
3	207P00000X	Emergency Medicine Physician	23688	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1396185765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN BROWNING M.D.

Provider Business Mailing Address
First Line	:	92 RATLIFF ST
Second Line	:	STE A
City	:	LUCEDALE
State	:	MS
Zip	:	39452-6537
Country	:	US
Telephone Number	:	601-984-6800
Fax Number	:	601-984-6811

Provider Business Practice Location Address
First Line	:	764 LAKELAND DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4651
Country	:	US
Telephone Number	:	601-984-6800
Fax Number	:	601-984-6811

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

Provider Enumeration Date	:	07/01/2013
Last Update Date	:	09/28/2017

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