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Organization

BROWN MEDICAL CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DELORISE BROWN M.D. (PRESIDENT)
(216) 451-2030
Entity
Organization

Contact information

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

Taxonomy

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

Other

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
Enumeration date
03/26/2007
Last updated
11/03/2014
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