MEDICARE: DR. RICHARD W 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
1	2084P0800X	Psychiatry Physician	35-075812	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	472421000	OTHER	OH	MAGELLAN PROVIDER NUMBER

General Provider Information

NPI Number	:	1750432175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD W BROWN MD

Provider Business Mailing Address
First Line	:	4240 HUNT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-6612
Country	:	US
Telephone Number	:	513-891-0650
Fax Number	:	513-891-2838

Provider Business Practice Location Address
First Line	:	8806 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3135
Country	:	US
Telephone Number	:	513-755-1777
Fax Number	:	513-759-9977

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

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	02/14/2012

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