MEDICARE: DAVID MARCUS 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	208600000X	Surgery Physician	33665	CO

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	:	1316918378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MARCUS BROWN MD

Provider Business Mailing Address
First Line	:	1310 WENTWOOD DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-7954
Country	:	US
Telephone Number	:	719-475-0270
Fax Number	:	719-475-0272

Provider Business Practice Location Address
First Line	:	3920 N UNION BLVD
Second Line	:	#160
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4907
Country	:	US
Telephone Number	:	719-475-0270
Fax Number	:	719-475-0272

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	04/15/2008

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Directions to “ DAVID MARCUS BROWN MD” Practice Location

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