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Physician Compare National (NPI:1417081803)

HEALTHCARE PROVIDER: LOUIS ALFRED BROWN JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1417081803
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4385817022
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111025000783
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BROWN
Individual professional last name
Provider First Name LOUIS
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 DERMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties DERMATOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 6326 RISING SUN AVE
Group Practice or individual's line 1 address
City PHILADELPHIA
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 191115630
Group Practice or individual's zip code (9 digits when available)
Phone Number 2157459794
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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