Individual
DR. BENJAMIN EDWARD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9825 KENWOOD RD STE 105, BLUE ASH, OH 45242-6252
(513) 872-5000
Mailing address
4706 CLARMAR RD, LOUISVILLE, KY 40299-1005
(502) 494-6965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35.126314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255927
—
OH
01
—
H543110
OHIO MEDICARE PTAN
OH
Enumeration date
04/18/2011
Last updated
03/17/2018
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