Healthcare Provider Details

I. General information

NPI: 1346248978
Provider Name (Legal Business Name): ROBERT A BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E LAMAR ST
AMERICUS GA
31709-3737
US

IV. Provider business mailing address

603 E LAMAR ST
AMERICUS GA
31709-3737
US

V. Phone/Fax

Practice location:
  • Phone: 229-928-3444
  • Fax: 229-928-3446
Mailing address:
  • Phone: 229-928-3444
  • Fax: 229-928-3446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0424031
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number61706
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036106324
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: