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NPI Code Detail

MEDICARE: DR. JAMES R. BROWN M.D.

MEDICARE: DR. JAMES R. BROWN M.D.
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
1207RG0100XGastroenterology Physician35-041920OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396844684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES R. BROWN M.D.
Provider Business Mailing Address
First Line : 1530 ST.CLAIR AVENUE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114
Country : US
Telephone Number : 216-781-6724
Fax Number : 216-781-6723
Provider Business Practice Location Address
First Line : 6001 WOODLAND AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-2762
Country : US
Telephone Number : 216-923-5000
Fax Number : 216-923-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/12/2012

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