Healthcare Provider Details

I. General information

NPI: 1043217383
Provider Name (Legal Business Name): RICHARD J BROWNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S LAKE PARK AVE STE 200
HOBART IN
46342-6791
US

IV. Provider business mailing address

1400 S LAKE PARK AVE STE 200
HOBART IN
46342-6791
US

V. Phone/Fax

Practice location:
  • Phone: 219-947-6122
  • Fax: 219-947-6045
Mailing address:
  • Phone: 219-947-6122
  • Fax: 219-947-6045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01048763
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: