Healthcare Provider Details

I. General information

NPI: 1114029428
Provider Name (Legal Business Name): RICHARD LEE BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 GOLDFINCH RD
HORTON KS
66439-9537
US

IV. Provider business mailing address

6423 ACUFF ST
SHAWNEE KS
66216-2168
US

V. Phone/Fax

Practice location:
  • Phone: 785-915-9751
  • Fax: 785-329-4798
Mailing address:
  • Phone: 785-915-9751
  • Fax: 785-329-4798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number04-29701
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-29701
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: