MEDICARE: STEVEN T BROWER 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	2086X0206X	Surgical Oncology Physician	167229	NY
2	208600000X	Surgery Physician	167229	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00432681	OTHER	SC	RR MEDICARE ID UNDER OLD TIN 58-1611969
2	P00679477	OTHER	GA	RR MEDICARE
3	02BBGKL	OTHER	GA	MEDICARE ID UNDER OLD TIN 58-1611969
5	P00679513	OTHER	SC	RR MEDICARE
6	P00057010	OTHER	GA	RR MEDICARE ID UNDER OLD TIN 58-1611969

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	01365958	OTHER	AMERIGROUP
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962599647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN T BROWER MD

Provider Business Mailing Address
First Line	:	PO BOX 95000-2424
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-2424
Country	:	US
Telephone Number	:	212-420-4335
Fax Number	:	212-844-7696

Provider Business Practice Location Address
First Line	:	4422 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-6132
Fax Number	:

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	11/10/2025

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