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NPI Code Detail

MEDICARE: MATTHEW S BROWN MD

MEDICARE: MATTHEW S 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
1208000000XPediatrics PhysicianM7233ID

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 : 1508809914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW S BROWN MD
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 712 AVIATION WAY
Second Line :
City : CALDWELL
State : ID
Zip : 83605-1154
Country : US
Telephone Number : 208-302-7100
Fax Number : 208-302-7189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 08/27/2025

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Directions to “ MATTHEW S BROWN MD” Practice Location

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