MEDICARE: NOEL 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	207N00000X	Dermatology Physician	22551	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00052969	OTHER	NC	RAILROAD MEDICARE

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
3	19145	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1376658583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL BROWN MD

Provider Business Mailing Address
First Line	:	2421 SILVER STREAM LANE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-0000
Country	:	US
Telephone Number	:	910-395-3477
Fax Number	:	910-815-3479

Provider Business Practice Location Address
First Line	:	2421 SILVER STREAM LANE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-0000
Country	:	US
Telephone Number	:	910-395-3477
Fax Number	:	910-815-3479

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	11/05/2008

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Directions to “ NOEL BROWN MD” Practice Location

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