MEDICARE: DR. BRUCE D BROWNER 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	207XX0801X	Orthopaedic Trauma Physician	194475	NC

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	:	1245235910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE D BROWNER MD

Provider Business Mailing Address
First Line	:	1603 ALLEN JARRETT DR
Second Line	:
City	:	MEBANE
State	:	NC
Zip	:	27302-9521
Country	:	US
Telephone Number	:	919-563-2311
Fax Number	:	919-563-2311

Provider Business Practice Location Address
First Line	:	1603 ALLEN JARRETT DR
Second Line	:
City	:	MEBANE
State	:	NC
Zip	:	27302-9521
Country	:	US
Telephone Number	:	919-563-2311
Fax Number	:	919-563-2311

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	06/29/2016

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