Healthcare Provider Details

I. General information

NPI: 1629995477
Provider Name (Legal Business Name): MATTHEW BROWNE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 CONTINENTAL DR UNIT 605
COVINGTON LA
70433-7284
US

IV. Provider business mailing address

1776 CONTINENTAL DR UNIT 605
COVINGTON LA
70433-7284
US

V. Phone/Fax

Practice location:
  • Phone: 714-856-5811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: