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NPI Code Detail

MEDICARE: TIMOTHY NEAL BROWN MD

MEDICARE: TIMOTHY NEAL 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
1207P00000XEmergency Medicine Physician01032874AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811905284
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY NEAL BROWN MD
Provider Business Mailing Address
First Line : 1111 RIDGEWAY DR
Second Line :
City : CRAWFORDSVILLE
State : IN
Zip : 47933-1065
Country : US
Telephone Number : 260-407-8000
Fax Number : 260-407-8004
Provider Business Practice Location Address
First Line : 1501 HARTFORD ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2134
Country : US
Telephone Number : 765-423-6011
Fax Number : 260-407-8004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 06/22/2009

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