MEDICARE: BARBARA G. BROWN, MD. PC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	36907 MD	IA

General Provider Information

NPI Number	:	1962957191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA G. BROWN, MD. PC

Provider Business Mailing Address
First Line	:	PO BOX 189
Second Line	:	103 S. MAIN STREET
City	:	NORTH ENGLISH
State	:	IA
Zip	:	52316-0189
Country	:	US
Telephone Number	:	319-400-5023
Fax Number	:	844-448-5484

Provider Business Practice Location Address
First Line	:	103 S MAIN ST
Second Line	:
City	:	NORTH ENGLISH
State	:	IA
Zip	:	52316-9504
Country	:	US
Telephone Number	:	319-400-5023
Fax Number	:	844-448-5484

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BARBARA G. BROWN
Credential	:	M.D.
Telephone Number	:	319-400-5023

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	08/17/2016

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