MEDICARE: DR. DAVID L BROWN 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	174400000X	Specialist	C5267	AR
2	174400000X	Specialist	MD60081780	WA
3	2084N0400X	Neurology Physician	MD60081780	WA
4	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	MD60081780	WA

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	P00828492	OTHER	WA	RAILROAD
3	0253595	OTHER	WA	STATE L&I

General Provider Information

NPI Number	:	1912955063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L BROWN M.D.

Provider Business Mailing Address
First Line	:	34503 9TH AVE S
Second Line	:	STE 230
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-8726
Country	:	US
Telephone Number	:	253-838-3103
Fax Number	:	253-838-7134

Provider Business Practice Location Address
First Line	:	34503 9TH AVE S
Second Line	:	STE 230
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-8726
Country	:	US
Telephone Number	:	253-838-3103
Fax Number	:	253-838-7134

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/18/2011

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Directions to “ DR. DAVID L BROWN M.D.” Practice Location

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