Healthcare Provider Details

I. General information

NPI: 1346344736
Provider Name (Legal Business Name): RICHARD VICTOR BROWN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VETERANS ADMINISTRATION MEDICAL CENTER UNIVERSITY DRIVE C
PITTSBURGH PA
15240
US

IV. Provider business mailing address

1581 CLOVER HILL DR
PITTSBURGH PA
15237-1505
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone: 412-688-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number22987E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: