MEDICARE: TODD B 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	207P00000X	Emergency Medicine Physician	00026140	AL
2	207P00000X	Emergency Medicine Physician	2009-00061	NC

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
2	051541689	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	051524273	OTHER	AL	BCBS PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	051532871	OTHER	AL	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1831170109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD B BROWN MD

Provider Business Mailing Address
First Line	:	188 THOMAS PL
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8350
Country	:	US
Telephone Number	:	910-705-5213
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 THOMAS PL
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8350
Country	:	US
Telephone Number	:	910-705-5213
Fax Number	:

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	01/26/2021

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Directions to “ TODD B BROWN MD” Practice Location

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