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NPI Code Detail

MEDICARE: DR. ROY REGINALD BROWN JR. M.D.

MEDICARE:  DR. ROY REGINALD BROWN JR. 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
1208800000XUrology Physician35091641OH

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 : 1417990565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY REGINALD BROWN JR. M.D.
Provider Business Mailing Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1822
Country : US
Telephone Number : 220-564-4027
Fax Number : 220-564-4012
Provider Business Practice Location Address
First Line : 1980 TAMARACK RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-1363
Country : US
Telephone Number : 220-564-7520
Fax Number : 220-564-7521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 12/07/2022

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Directions to “ DR. ROY REGINALD BROWN JR. M.D.” Practice Location

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