MEDICARE: BARBARA A. BROWN

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	363A00000X	Physician Assistant	1500690	KS
2	207Q00000X	Family Medicine Physician	0523287	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104882414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA A. BROWN

Provider Business Mailing Address
First Line	:	128 S 5TH ST
Second Line	:	PO BOX 307
City	:	OSBORNE
State	:	KS
Zip	:	67473-2304
Country	:	US
Telephone Number	:	785-346-2033
Fax Number	:	785-346-2919

Provider Business Practice Location Address
First Line	:	128 S 5TH ST
Second Line	:
City	:	OSBORNE
State	:	KS
Zip	:	67473-2304
Country	:	US
Telephone Number	:	785-346-2033
Fax Number	:	785-346-2919

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA A BROWN APPLEGATE
Credential	:	D.O.
Telephone Number	:	785-346-2033

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	09/29/2008

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