MEDICARE: DR. PAUL KENNETH BROWNSTONE 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	2084N0400X	Neurology Physician	30904	CO
2	208U00000X	Clinical Pharmacology Physician	30904	CO

General Provider Information

NPI Number	:	1780789214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL KENNETH BROWNSTONE M.D.

Provider Business Mailing Address
First Line	:	1000 ALPINE AVE
Second Line	:	SUITE 200
City	:	BOULDER
State	:	CO
Zip	:	80304-3406
Country	:	US
Telephone Number	:	303-443-7229
Fax Number	:	303-443-7748

Provider Business Practice Location Address
First Line	:	1000 ALPINE AVE
Second Line	:	SUITE 200
City	:	BOULDER
State	:	CO
Zip	:	80304-3406
Country	:	US
Telephone Number	:	303-443-7229
Fax Number	:	303-443-7748

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/11/2025

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