Provider Demographics
NPI:1013032549
Name:BROWN, SHERMAN IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERMAN
Middle Name:IRA
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S ORANGE AVE UNIT 501
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7566
Mailing Address - Country:US
Mailing Address - Phone:941-706-1452
Mailing Address - Fax:941-706-1452
Practice Address - Street 1:505 S ORANGE AVE UNIT 501
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7566
Practice Address - Country:US
Practice Address - Phone:941-706-1452
Practice Address - Fax:941-706-1452
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 594922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA50683Medicaid
LA1167142Medicare ID - Type Unspecified