Provider Demographics
NPI:1922017953
Name:BROWN, HEATHER FURLONG (MD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:FURLONG
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:FURLONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:1201 PLEASANT VALLEY RD FL 3
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-9811
Practice Address - Country:US
Practice Address - Phone:270-417-5390
Practice Address - Fax:270-417-0165
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-010862080N0001X
KY380512080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7598872OtherAETNA
190680OtherMEDCOST
KY7100145510Medicaid
14237OtherBCBS
NC5906013Medicaid
VA10385105Medicaid
808465OtherPARTNERS
SCQ0108EMedicaid
SCQ0108EMedicaid
2058999Medicare PIN
NCNC9300AMedicare PIN