Provider Demographics
NPI:1164743332
Name:BROWN, ANTHONY CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:CHRISTOPHER
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE299192085R0202X
CODR.00584122085R0204X
HIMD191452085R0202X
WI635152085R0202X
KS04-399032085R0202X
CO584122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO569833YQ33OtherMEDICARE PIN
CO569833ZNTBOtherMEDICARE
CO569833YQPGOtherMEDICARE PIN
CO569833YQ3LOtherMEDICARE
CO569833YQN9OtherMEDICARE PIN
NE$$$$$$$$$00Medicaid
NE$$$$$$$$$03Medicaid
CO569833YQN9OtherMEDICARE PIN
CO569833ZNTBOtherMEDICARE
NE$$$$$$$$$05Medicaid
NE$$$$$$$$$07Medicaid
NE$$$$$$$$$04Medicaid
NE$$$$$$$$$06Medicaid
CO569833YQ33OtherMEDICARE PIN
NE$$$$$$$$$06Medicaid
NENA1214117Medicare PIN
NE$$$$$$$$$08Medicaid
NE$$$$$$$$$07Medicaid
NE$$$$$$$$$00Medicaid