MEDICARE: MR. SCOTT BYRON BROWN RD, MPH

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	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1447317326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT BYRON BROWN RD, MPH

Provider Business Mailing Address
First Line	:	2026 BELLE MONTI AVE
Second Line	:
City	:	BELMONT
State	:	CA
Zip	:	94002-1727
Country	:	US
Telephone Number	:	650-299-4926
Fax Number	:	650-299-4974

Provider Business Practice Location Address
First Line	:	2026 BELLE MONTI AVE
Second Line	:
City	:	BELMONT
State	:	CA
Zip	:	94002-1727
Country	:	US
Telephone Number	:	650-299-4926
Fax Number	:	650-299-4974

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	02/11/2022

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