Provider Demographics
NPI:1346236148
Name:BROWN, DONALD E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337-0517
Mailing Address - Country:US
Mailing Address - Phone:910-862-6672
Mailing Address - Fax:910-862-6674
Practice Address - Street 1:123 SUMMER ST STE 587
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00432207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
131412OtherHARVARD PILGRIM
0701473OtherUNITED HEALTH CARE
NC2351500OtherMEDICARE
599881OtherHEALTH SOURCE
043572001OtherHEALTH CARE VALUE MGT
075036OtherTUFTS HEALTH PLAN
41721OtherFALLON
J12018OtherBCBS
043572001OtherCHAMPUS TRICARE
MA3088502Medicaid
0017924OtherNEIGHBORHOOD HEALTH
043572001OtherANTHEM BC
1504001003OtherCIGNA
NH30005090Medicaid
986315OtherNETWORK HEALTH
41721OtherFALLON
D76436Medicare UPIN
043572001OtherCHAMPUS TRICARE
075036OtherTUFTS HEALTH PLAN