MEDICARE: DR. RICHARD J BROWNE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	01048763	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020042917	OTHER	IN	RR MCR PROV #
2	90001166	OTHER	IN	BCBS OF IL PROV #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000092006	OTHER	IN	BCBS PROVIDER #

General Provider Information

NPI Number	:	1043217383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J BROWNE MD

Provider Business Mailing Address
First Line	:	1400 S LAKE PARK AVE
Second Line	:	STE 200
City	:	HOBART
State	:	IN
Zip	:	46342-6791
Country	:	US
Telephone Number	:	219-947-6122
Fax Number	:	219-947-6045

Provider Business Practice Location Address
First Line	:	1400 S LAKE PARK AVE
Second Line	:	STE 200
City	:	HOBART
State	:	IN
Zip	:	46342-6791
Country	:	US
Telephone Number	:	219-947-6122
Fax Number	:	219-947-6045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	04/25/2011

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Directions to “ DR. RICHARD J BROWNE MD” Practice Location

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