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NPI Code Detail

MEDICARE: DR. BRIAN A BROWN M.D.

MEDICARE: DR. BRIAN A BROWN 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
1207L00000XAnesthesiology Physician01037369IN

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 : 1548365547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN A BROWN M.D.
Provider Business Mailing Address
First Line : PO BOX 78106
Second Line :
City : DETROIT
State : MI
Zip : 48278-1008
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 1701 S CREASY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-4972
Country : US
Telephone Number : 765-502-4917
Fax Number : 765-502-4023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 05/18/2026

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