Healthcare Provider Details

I. General information

NPI: 1386674554
Provider Name (Legal Business Name): BROWNE MEDICAL PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 E GRAND RIVER AVE
BRIGHTON MI
48116-1512
US

IV. Provider business mailing address

206 E GRAND RIVER AVE
BRIGHTON MI
48116-1512
US

V. Phone/Fax

Practice location:
  • Phone: 810-229-8511
  • Fax: 810-229-7560
Mailing address:
  • Phone: 810-229-8511
  • Fax: 810-229-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301081064
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301081546
License Number StateMI

VIII. Authorized Official

Name: SHANNON BROWNE
Title or Position: MEMBER
Credential: M.D.
Phone: 810-229-8511