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Individual
ROBERT BROWN
Active
Individual
ROBERT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C50186
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C50186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C501860
—
CA
01
—
BP970X
INDIVIDUAL MEDICARE PTAN#
CA
01
—
BP970Z
INDIVIDUAL MEDICARE PTAN#
CA
01
—
C50186
MEDICAL LICENSE#
CA
01
—
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID#
CA
Enumeration date
07/12/2006
Last updated
03/07/2023
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