Provider Demographics
NPI:1023067592
Name:BROWN, DAVID NEIL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NEIL
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1801 N SENATE BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:317-962-6300
Mailing Address - Fax:317-962-2346
Practice Address - Street 1:1801 N SENATE BLVD
Practice Address - Street 2:STE 400
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-962-6300
Practice Address - Fax:317-962-2346
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN010S1618A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F69370Medicare UPIN
S22840KMedicare ID - Type Unspecified