MEDICARE: DR. ADAM MATTHEW BROWN D.O.

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	207L00000X	Anesthesiology Physician	5101017121	MI
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	246581	MA

General Provider Information

NPI Number	:	1487633855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM MATTHEW BROWN D.O.

Provider Business Mailing Address
First Line	:	39 EDGERTON DR
Second Line	:	FALMOUTH HOSPITAL PAIN MANAGEMENT
City	:	NORTH FALMOUTH
State	:	MA
Zip	:	02556-2821
Country	:	US
Telephone Number	:	508-563-3925
Fax Number	:	508-563-3926

Provider Business Practice Location Address
First Line	:	39 EDGERTON DR
Second Line	:	FALMOUTH HOSPITAL PAIN MANAGEMENT
City	:	NORTH FALMOUTH
State	:	MA
Zip	:	02556-2821
Country	:	US
Telephone Number	:	508-563-3925
Fax Number	:	508-563-3926

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	01/02/2014

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