Healthcare Provider Details

I. General information

NPI: 1023129079
Provider Name (Legal Business Name): DELORISE BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 FOREST HILLS BLVD SUITE 105
CLEVELAND OH
44112-4348
US

IV. Provider business mailing address

1831 FOREST HILLS BLVD STE 105
CLEVELAND OH
44112-4348
US

V. Phone/Fax

Practice location:
  • Phone: 216-451-2030
  • Fax: 216-451-2027
Mailing address:
  • Phone: 216-406-0666
  • Fax: 216-672-4458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35039059B
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35039059B
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: