MEDICARE: GREG BROWN, MD, LLC

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	2084P0800X	Psychiatry Physician	MD020452	LA

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	:	1487918454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREG BROWN, MD, LLC

Provider Business Mailing Address
First Line	:	8602 CRESWELL RD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-6210
Country	:	US
Telephone Number	:	318-804-0413
Fax Number	:	318-528-1335

Provider Business Practice Location Address
First Line	:	8602 CRESWELL RD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-6210
Country	:	US
Telephone Number	:	318-804-0413
Fax Number	:	318-528-1335

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY JAMES BROWN
Credential	:	MD
Telephone Number	:	318-804-0413

Provider Enumeration Date	:	06/25/2012
Last Update Date	:	04/17/2026

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