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1770585721

NPI Code Detail

MEDICARE: MARK G BROWN MD

MEDICARE: MARK G 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	2085R0202X	Diagnostic Radiology Physician	MD072455L	PA
2	2085R0204X	Vascular & Interventional Radiology Physician	35.136171	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00767228	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	131507	OTHER	PA	HIGHMARK BCBS

General Provider Information

NPI Number	:	1770585721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK G BROWN MD

Provider Business Mailing Address
First Line	:	401 LIBERTY AVE STE 2000
Second Line	:	THREE GATEWAY CENTER, 20TH FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-1029
Country	:	US
Telephone Number	:	412-223-2272
Fax Number	:	412-281-6320

Provider Business Practice Location Address
First Line	:	1906 BLAKE AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4227
Country	:	US
Telephone Number	:	970-447-4065
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	11/17/2021

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Directions to “ MARK G BROWN MD” Practice Location

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