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NPI Code Detail

MEDICARE: DR. DAVID G. BROWN M.D.

MEDICARE:  DR. DAVID G. 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
1207X00000XOrthopaedic Surgery Physician013204ME

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MM3882OTHERMEDICARE
8DX3151OTHERNEW MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21044480OTHERAETNA
3M4232OTHERCIGNA / GREAT WEST
4000733OTHERANTHEM
5E98562OTHERHARVARD PILGRIM
60378600001OTHERDMERC
7MM0716OTHERCLINIC FACILITY
9201017OTHERASC FACILITY

General Provider Information

NPI Number : 1477558278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID G. BROWN M.D.
Provider Business Mailing Address
First Line : 690 MINOT AVE
Second Line : STE 1
City : AUBURN
State : ME
Zip : 04210-3922
Country : US
Telephone Number : 207-783-1328
Fax Number : 207-795-0260
Provider Business Practice Location Address
First Line : 690 MINOT AVE
Second Line : STE 1
City : AUBURN
State : ME
Zip : 04210-3922
Country : US
Telephone Number : 207-783-1328
Fax Number : 207-795-0260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 04/17/2008

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Directions to “ DR. DAVID G. BROWN M.D.” Practice Location

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