MEDICARE: BROWN VENTURES LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1043401644-001	OTHER	NV	STATE OF NEVADA

General Provider Information

NPI Number	:	1124727607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN VENTURES LLC

Provider Business Mailing Address
First Line	:	4266 S DURANGO DR STE G
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8713
Country	:	US
Telephone Number	:	702-476-6687
Fax Number	:

Provider Business Practice Location Address
First Line	:	4266 S DURANGO DR STE G
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8713
Country	:	US
Telephone Number	:	702-476-6687
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUSTIN BROWN
Credential	:
Telephone Number	:	702-219-7296

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	02/23/2023

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Directions to “BROWN VENTURES LLC ” Practice Location

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