Healthcare Provider Details

I. General information

NPI: 1225250939
Provider Name (Legal Business Name): J DAVID BROWN DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 S LINDSAY RD #113
GILBERT AZ
85295
US

IV. Provider business mailing address

3011 S LINDSAY RD #113
GILBERT AZ
85295
US

V. Phone/Fax

Practice location:
  • Phone: 480-759-6737
  • Fax: 480-759-5404
Mailing address:
  • Phone: 480-759-6737
  • Fax: 480-759-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. J DAVID BROWN
Title or Position: OWNER
Credential: DPM
Phone: 480-759-6737