MEDICARE: DR. ROY CHARLES BROWNLOW 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	207L00000X	Anesthesiology Physician	042196	GA
2	208VP0014X	Interventional Pain Medicine Physician	042196	GA

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
2	1539874	OTHER	GA	CIGNA HEALTH CARE
3	5542185	OTHER	GA	AETNA US HEALTH CARE
4	24445	OTHER	GA	COVENTRY HEALTH CARE
5	582317219	OTHER	GA	HUMANA
6	1389946	OTHER	GA	FIRST HEALTH

General Provider Information

NPI Number	:	1205949914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY CHARLES BROWNLOW MD

Provider Business Mailing Address
First Line	:	3023 BUNKER HILL ST STE 203
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	858-205-1993
Fax Number	:	619-202-8090

Provider Business Practice Location Address
First Line	:	3023 BUNKER HILL ST STE 203
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	858-205-1993
Fax Number	:	619-202-8090

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/26/2025

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Directions to “ DR. ROY CHARLES BROWNLOW MD” Practice Location

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