# BROWN MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619095049
- **Authorized official:** DR. DELORISE BROWN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 451-2030

## Contact information

- **Practice address:** 1831 FOREST HILLS BLVD, SUITE 105, CLEVELAND, OH 44112-4348
- **Practice address phone:** (216) 451-2030
- **Practice address fax:** (216) 451-2027
- **Mailing address:** 1831 FOREST HILLS BLVD, SUITE 105, CLEVELAND, OH 44112-4348
- **Mailing address phone:** (216) 451-2030
- **Mailing address fax:** (216) 451-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | — | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | — | — | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 11/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000168701 | ANTHEM GROUP PROVIDER ID | OH |
| 05 | — | 0420315 | — | OH |
| 01 | — | 350477 | WELLCARE HEALTH PLANS ID | OH |
| 05 | — | 350477 | — | OH |
| 01 | — | 366373800 | US DEPARTMENT OF LABOR ID | OH |
| 01 | — | 50821 | QUALCHOICE PROVIDER ID | OH |
| 01 | — | 587127472010 | MEDICAL MUTUAL OF OHIO ID | OH |
| 05 | — | 716326 | — | OH |
| 01 | — | R39059 | SUMMACARE PROVIDER ID | OH |