Healthcare Provider Details

I. General information

NPI: 1457441990
Provider Name (Legal Business Name): FRANK OSBORNE BROWN III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/03/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 SOLANO AVE STE 182
BERKELEY CA
94707-2116
US

IV. Provider business mailing address

1569 SOLANO AVE STE 182
BERKELEY CA
94707-2116
US

V. Phone/Fax

Practice location:
  • Phone: 510-845-0600
  • Fax: 510-644-1855
Mailing address:
  • Phone: 510-845-0600
  • Fax: 510-644-1855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA40703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: