=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972486496
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BROWN GYNECOLOGY AND SURGERY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2025
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1140 GULF SHORES PKWY STE A
-----------------------------------------------------
City | GULF SHORES
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36542-5914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-651-6550
-----------------------------------------------------
Fax | 251-651-6511
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1140 GULF SHORES PKWY STE A
-----------------------------------------------------
City | GULF SHORES
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36542-5914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-651-6550
-----------------------------------------------------
Fax | 251-651-6511
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER OF LLC
-----------------------------------------------------
Name | DR. RICHARD C BROWN
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 251-651-6550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------