Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 20991 | AL |
NPI | 1932223526 |
---|---|
Provider Name | Robert C Brown |
First Address | Fairhope, AL 36532-3029 |
Second Address | Fairhope, AL 36532-3029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 26/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1758462 | FIRST HEALTH (01) | AL |
1829198 | UNITED HEALTH CARE (01) | AL |
20991 | STATE LICENSE (01) | AL |
51046701 | BCBS (01) | AL |
5831569 | AETNA (01) | AL |
8787575 | CIGNA (01) | AL |
G54679 | (02) | AL |