Provider Demographics
NPI:1336658145
Name:BROWN UROLOGY, INC.
Entity Type:Organization
Organization Name:BROWN UROLOGY, INC.
Other - Org Name:COLLYER STREET OPERATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-421-0710
Mailing Address - Street 1:110 ELM ST FL 3
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4626
Mailing Address - Country:US
Mailing Address - Phone:401-443-4379
Mailing Address - Fax:401-537-7241
Practice Address - Street 1:195 COLLYER ST STE 104
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1869
Practice Address - Country:US
Practice Address - Phone:401-276-2026
Practice Address - Fax:401-276-2025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWN UROLOGY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-25
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies