Provider Demographics
NPI:1235428772
Name:BROWN, RICHARD CRAIG JR (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CRAIG
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1725 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2249
Mailing Address - Country:US
Mailing Address - Phone:251-943-2141
Mailing Address - Fax:251-943-2846
Practice Address - Street 1:1725 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2249
Practice Address - Country:US
Practice Address - Phone:251-943-2141
Practice Address - Fax:251-949-3453
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO1372207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL238108Medicaid
MS02475556Medicaid
AL237187Medicaid