MEDICARE: DR. TRAVIS GREGORY 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
1	207Q00000X	Family Medicine Physician	N1564	TX

General Provider Information

NPI Number	:	1588847610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS GREGORY BROWN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1595
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-1595
Country	:	US
Telephone Number	:	469-672-6687
Fax Number	:	184-496-5942

Provider Business Practice Location Address
First Line	:	423 E MAIN ST STE 3
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-3345
Country	:	US
Telephone Number	:	469-672-6687
Fax Number	:	184-496-5942

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

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	09/09/2025

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