Provider Demographics
NPI:1144403023
Name:BROWNSTEIN, BARRY JAY (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:JAY
Last Name:BROWNSTEIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1015
Mailing Address - Country:US
Mailing Address - Phone:614-252-8300
Mailing Address - Fax:614-252-6637
Practice Address - Street 1:800 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1015
Practice Address - Country:US
Practice Address - Phone:614-252-8300
Practice Address - Fax:614-252-6637
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002526363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant