Organization
BROOKPARK FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D BROWN M.D. (PRESIDENT)
(570) 524-4443
Entity
Organization
Contact information
Practice address
98 REITZ BLVD, LEWISBURG, PA 17837-9206
(570) 524-4443
(570) 523-1855
Mailing address
98 REITZ BLVD, LEWISBURG, PA 17837-9206
(570) 524-4443
(570) 523-1855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018452610001
—
PA
01
—
02602900
CAPITAL BLUE CROSS
PA
01
—
0352417
HIGHMARK BLUE SHIELD
PA
01
—
139549
HEALTH ASSURANCE/AMERICA
PA
Enumeration date
01/23/2006
Last updated
08/22/2020
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