Provider Demographics
NPI:1346344736
Name:BROWN, RICHARD VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:VICTOR
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 1:1581 CLOVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1505
Mailing Address - Country:US
Mailing Address - Phone:412-688-6000
Mailing Address - Fax:
Practice Address - Street 1:VETERANS ADMINISTRATION MEDICAL CENTER
Practice Address - Street 2:UNIVERSITY DRIVE C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-688-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22987E171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22987EOtherSTATE MEDICAL LICENSE