Provider Demographics
NPI:1083626519
Name:BROWN, JOSHUA STERLING (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:STERLING
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1650 HOSPITAL DR
Mailing Address - Street 2:STE 800
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4789
Mailing Address - Country:US
Mailing Address - Phone:505-395-3000
Mailing Address - Fax:505-982-5003
Practice Address - Street 1:1650 HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4769
Practice Address - Country:US
Practice Address - Phone:505-982-4276
Practice Address - Fax:505-983-7571
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM2002-0376207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM96921340Medicaid
NM344304502Medicare ID - Type Unspecified
NM96921340Medicaid