Healthcare Provider Details

I. General information

NPI: 1275018145
Provider Name (Legal Business Name): ROBERT J. BROWNSBERGER MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S CANDY LN STE 2A
COTTONWOOD AZ
86326-4172
US

IV. Provider business mailing address

3769 CROSSINGS DR STE D
PRESCOTT AZ
86305-7121
US

V. Phone/Fax

Practice location:
  • Phone: 928-532-7599
  • Fax: 928-532-5899
Mailing address:
  • Phone: 928-774-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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