# BRUCE A BROWN MD,INC

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

## Provider details

- **NPI number:** 1639356892
- **Authorized official:** MRS. MARCIA EDWORDS CPC,CCP (DIRECTOR PATIENT ACCOUNT MGMT.)
- **Authorized official phone:** (858) 558-8488

## Contact information

- **Practice address:** 2001 SANTA MONICA BLVD, STE 1190W, SANTA MONICA, CA 90404-2102
- **Practice address phone:** (310) 453-3460
- **Practice address fax:** (310) 453-3636
- **Mailing address:** 2001 SANTA MONICA BLVD, STE 1190W, SANTA MONICA, CA 90404-2102
- **Mailing address phone:** (310) 453-3460
- **Mailing address fax:** (310) 453-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G41253 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008
