Healthcare Provider Details

I. General information

NPI: 1013111384
Provider Name (Legal Business Name): ROBERT J. BROWNSBERGER, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N MAIN ST
COTTONWOOD AZ
86326-3864
US

IV. Provider business mailing address

1042 WILLOW CREEK RD
PRESCOTT AZ
86301-1673
US

V. Phone/Fax

Practice location:
  • Phone: 928-458-7343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number23429
License Number StateAZ

VIII. Authorized Official

Name: DR. ROBERT JOSEPH BROWNSBERGER
Title or Position: PRESIDENT
Credential: MD
Phone: 928-774-3919