Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | D0039922 | MD |
N | 2081P2900X | Pain Medicine | D0039922 | MD |
NPI | 1245288604 |
---|---|
Provider Name | Dr. Scott E. Brown |
First Address | Baltimore, MD 21215-5216 |
Second Address | Baltimore, MD 21215-5216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
089011100 | (05) | MD |
250006477 | R/R MEDICARE PROVIDER # (01) | MD |
CA8374 | R/R MEDICARE GROUP # (01) | MD |
E52417 | (02) | MD |