MEDICARE: DR. REGINA J 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	207R00000X	Internal Medicine Physician	45049	CO
2	207RH0003X	Hematology & Oncology Physician	MD035975	DC
3	207RX0202X	Medical Oncology Physician	DR.0045049	CO

General Provider Information

NPI Number	:	1982703021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINA J BROWN M.D.

Provider Business Mailing Address
First Line	:	2121 E HARMONY RD
Second Line	:	SUITE 150
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3400
Country	:	US
Telephone Number	:	970-493-6337
Fax Number	:	970-493-3528

Provider Business Practice Location Address
First Line	:	2121 EAST HARMONY ROAD
Second Line	:	150
City	:	FORT COLLINS
State	:	CO
Zip	:	80528
Country	:	US
Telephone Number	:	970-493-6337
Fax Number	:	970-493-3528

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	03/21/2019

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