Healthcare Provider Details

I. General information

NPI: 1649259953
Provider Name (Legal Business Name): RICHARD BROWER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 PORTAGE TRL
CUYAHOGA FALLS OH
44221-3227
US

IV. Provider business mailing address

437 PORTAGE TRL
CUYAHOGA FALLS OH
44221-3227
US

V. Phone/Fax

Practice location:
  • Phone: 330-929-9136
  • Fax: 330-929-9189
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number35054436
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.054436
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: