Provider Demographics
NPI:1093780868
Name:BROWN, DAVID RICK (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICK
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:POB III
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-939-4512
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR STE 300
Practice Address - Street 2:POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1612
Practice Address - Country:US
Practice Address - Phone:205-939-4512
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD00010423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051034611OtherBCBS PROVIDER NUMBER
AL000034611Medicaid
AL110140970OtherRRMCR PROVIDER NUMBER
AL110140970OtherRRMCR PROVIDER NUMBER
AL000034611Medicare PIN