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NPI Code Detail

MEDICARE: GORDON D BROWN MD

MEDICARE: GORDON D 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
12085R0202XDiagnostic Radiology Physician149830-1205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1870284448BR1OTHERUTEMIA
2107006207101OTHERUTIHC
354587OTHERUTDMBA

General Provider Information

NPI Number : 1598710162
Entity Type Code : Individual
Provider Name (Legal Business Name) : GORDON D BROWN MD
Provider Business Mailing Address
First Line : 283 E 930 S
Second Line :
City : OREM
State : UT
Zip : 84058-5001
Country : US
Telephone Number : 801-225-6246
Fax Number : 801-225-1525
Provider Business Practice Location Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-919-7850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/12/2026

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