Healthcare Provider Details

I. General information

NPI: 1568100022
Provider Name (Legal Business Name): PAYTON BROWN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 E BASELINE RD STE 123
GILBERT AZ
85234-2969
US

IV. Provider business mailing address

4915 E BASELINE RD STE 123
GILBERT AZ
85234-2969
US

V. Phone/Fax

Practice location:
  • Phone: 480-562-6001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3698
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: