Individual
DR. STEPHEN MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 870-6736
(317) 870-0499
Mailing address
450 E 96TH ST STE 200, INDIANAPOLIS, IN 46240-3797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069881
IN
207L00000X
Anesthesiology Physician
01069881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000770385
ANTHEM
IN
05
—
201028240
—
IN
01
—
M400071566
MEDICARE
IN
01
—
P01098919
RAILROAD MEDICARE
IN
Enumeration date
04/01/2008
Last updated
03/18/2021
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