Healthcare Provider Details

I. General information

NPI: 1588357222
Provider Name (Legal Business Name): CHASE AARON BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S MAIN ST
OTTAWA KS
66067-3315
US

IV. Provider business mailing address

901 S MAIN ST
OTTAWA KS
66067-3315
US

V. Phone/Fax

Practice location:
  • Phone: 785-242-9889
  • Fax:
Mailing address:
  • Phone: 785-229-8882
  • Fax: 785-229-8447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-53619
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: