Provider Demographics
NPI:1154828861
Name:BROWN, AUSTIN (MPH, DPM)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:MPH, DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9898 ROSEMONT AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-4107
Mailing Address - Country:US
Mailing Address - Phone:720-638-6081
Mailing Address - Fax:720-638-6082
Practice Address - Street 1:9898 ROSEMONT AVE STE 103
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-4107
Practice Address - Country:US
Practice Address - Phone:720-638-6081
Practice Address - Fax:720-638-6082
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO213E20103X213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery