MEDICARE: DR. CYNTHIA D 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	207RP1001X	Pulmonary Disease Physician	9700874	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290013995	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	129C2	OTHER	NC	BCBS NC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932106150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA D BROWN M.D.

Provider Business Mailing Address
First Line	:	301 W 18TH ST
Second Line	:	101
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2309
Country	:	US
Telephone Number	:	903-572-9050
Fax Number	:	903-572-9050

Provider Business Practice Location Address
First Line	:	301 W 18TH ST
Second Line	:	101
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2309
Country	:	US
Telephone Number	:	903-572-9050
Fax Number	:	903-572-9050

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/19/2010

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