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1760514863 NPI number — BRUCE R BROWN DDS

NPI Number: 1760514863
Health Care Provider/Practitioner: BRUCE R BROWN DDS

Information about “1760514863” NPI (BRUCE R BROWN DDS) exists in 1760514863 in HTML format HTML  |  1760514863 in plain Text format TXT  |  1760514863 in PDF (Portable Document Format) PDF  |  1760514863 in an XML format XML  formats.

NPI Number : 1760514863 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760514863",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "BRUCE",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14 ROOSEVELT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORT JEFFERSON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11776-3337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-476-4364",
    "MailingAddressFaxNumber": "631-474-0998",
    "FirstLinePracticeLocationAddress": "14 ROOSEVELT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT JEFFERSON STATION",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11776-3337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-476-4364",
    "PracticeLocationAddressFaxNumber": "631-474-0998",
    "EnumerationDate": "03/12/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "LicenseNumber": "031788",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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