Individual
MR. BRIAN D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 985-1925
(239) 321-6044
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(399) 851-9252
(239) 468-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA003096L
PA
363A00000X
Physician Assistant
OA000440L
PA
363A00000X
Physician Assistant
Primary
PA9106441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004717800
—
FL
01
—
1097540
WELLCARE
FL
01
—
398573
AVMED
FL
01
—
7812955
AETNA
FL
01
—
P01318677
RR MEDICARE
FL
01
—
P1015001
FREEDOM
FL
01
—
P953872
OPTIMUM
FL
01
—
Y0A80
BCBS OF FL
FL
Enumeration date
02/22/2006
Last updated
08/20/2024
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