Individual
DR. BERT M. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6770 MAYFIELD ROAD, SUITE 210, MAYFIELD HTS, OH 44124
(440) 461-0150
(440) 461-8221
Mailing address
6770 MAYFIELD RD, SUITE 210, MAYFIELD HEIGHTS, OH 44124-2299
(440) 461-0150
(440) 461-8221
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-05-6634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711073
—
OH
01
—
H026830
MEDICARE PTAN
OH
Enumeration date
08/03/2005
Last updated
06/15/2015
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