Provider Demographics
NPI:1255507935
Name:BERNADETTE BROWN, MD
Entity Type:Organization
Organization Name:BERNADETTE BROWN, MD
Other - Org Name:ROUND ROCK PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-255-6033
Mailing Address - Street 1:894 SUMMIT ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4322
Mailing Address - Country:US
Mailing Address - Phone:512-255-6033
Mailing Address - Fax:512-255-1150
Practice Address - Street 1:894 SUMMIT ST
Practice Address - Street 2:SUITE 108
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4322
Practice Address - Country:US
Practice Address - Phone:512-255-6033
Practice Address - Fax:512-255-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6480208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty