Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D54596 | MD |
N | 208600000X | Surgeon | D54596 | MD |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D54596 | MD |
NPI | 1053342683 |
---|---|
Provider Name | Dr. James Morris Brown |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 19/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259502800 | (05) | MD |
B85402 | (02) | MD |