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NPI Code Detail

MEDICARE: DR. JERRY L. BROWNE M.D.

MEDICARE: DR. JERRY L. BROWNE 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
1207P00000XEmergency Medicine Physician30560IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00207344OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
455157OTHERIAWELLMARK BC/BS IOWA

General Provider Information

NPI Number : 1538141734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY L. BROWNE M.D.
Provider Business Mailing Address
First Line : 625 S GILBERT ST STE 2
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1747
Country : US
Telephone Number : 319-688-7376
Fax Number : 319-358-2628
Provider Business Practice Location Address
First Line : 500 E MARKET ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2633
Country : US
Telephone Number : 319-339-0300
Fax Number : 319-339-3906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 12/12/2016

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