MEDICARE: DR. DONALD BROWN 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	207V00000X	Obstetrics & Gynecology Physician	12328	OK

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	:	1225014681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD BROWN MD

Provider Business Mailing Address
First Line	:	5300 N INDEPENDENCE AVE
Second Line	:	280
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5556
Country	:	US
Telephone Number	:	405-945-5275
Fax Number	:	405-945-5232

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST STE 1010
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4442
Country	:	US
Telephone Number	:	405-945-5275
Fax Number	:	405-945-5232

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	01/13/2020

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Directions to “ DR. DONALD BROWN MD” Practice Location

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